Individual
PAYTON HUNTER LACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
660 LANIER PARK DR STE E, GAINESVILLE, GA 30501-2075
(678) 971-4647
Mailing address
4045 JOHNS CREEK PKWY STE B, SUWANEE, GA 30024-1218
(770) 814-1260
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004368
GA
Other
Enumeration date
05/17/2023
Last updated
07/23/2026
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