Individual
MADISON REECE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1056 CAMERON RIDGE DR, COLUMBIA, SC 29209-5158
(828) 403-3018
Mailing address
1056 CAMERON RIDGE DR, COLUMBIA, SC 29209-5158
(828) 403-3018
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LRD.3001
SC
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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