Glenn Young Pryor, R.D., L.D.

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

LD000322 Issued in GA

Practice address

515 Fairburn Rd SW
Suite 350
Atlanta, GA 30331-2012

Phone

(404) 505-6754

Fax

(404) 505-6758

NPI assigned

May 8, 2007

Last updated

Mar 31, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1245443795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 HIGHWAY 279",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143410",
            "telephone_number": "404-505-6754",
            "fax_number": "404-505-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRBURN RD SW",
            "address_2": "SUITE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312012",
            "telephone_number": "404-505-6754",
            "fax_number": "404-505-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "GLENN",
        "middle_name": "YOUNG",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "GA",
            "license": "LD000322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lyn Pryce, CRNA
• Brett Jordan Prylinski, D.O.
• Tory Prynn
• Catherine Pryor
• Coranesha Pryor, NURSE ASSISTANT
• Kimberley N Pryor, D.O.
• Lesley Pryor
• Leslye Pryor, SLP
• Vanessa L. Pryor, L.C.S.W.
• Psychcicle LLC

• Nutrition Education Nutritionist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nutrition Education Nutritionist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.