Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gary Alan Youngblood Jr., RD, LD, CDE

Individual provider Registered Dietitian · NPI 1104150192

Mr. Gary Alan Youngblood Jr., RD, LD, CDE is a Registered Dietitian in Pooler, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

141 Nandina Way
Pooler, GA 31322-4076
Phone: (912) 660-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD002323 (GA)

Record details

NPI number1104150192
Entity typeIndividual (Type 1)
GenderMale
Credentials RD , LD , CDE
Sole proprietorYes
NPI enumeratedSeptember 24, 2009
Last updated in NPPESSeptember 24, 2009

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