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Individual

MRS. GLENN YOUNG PRYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., L.D.

Contact information

Practice address
515 FAIRBURN RD SW, SUITE 350, ATLANTA, GA 30331-2012
(404) 505-6754
(404) 505-6758
Mailing address
360 HIGHWAY 279, FAYETTEVILLE, GA 30214-3410
(404) 505-6754
(404) 505-6758

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
LD000322
GA

Other

Enumeration date
05/08/2007
Last updated
03/31/2008
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