Individual
STEPHANIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
332 MOUNTAIN LAUREL WALK, CANTON, GA 30114-5747
(770) 295-8389
Mailing address
332 MOUNTAIN LAUREL WALK, CANTON, GA 30114-5747
(770) 295-8389
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005599
GA
Other
Enumeration date
06/15/2020
Last updated
05/03/2023
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