Individual
JONATHAN PAUL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
808 13TH AVE, ALBANY, GA 31701-1328
(229) 434-7640
(229) 434-7647
Mailing address
1118 ROSS CLARK CIR STE 600, DOTHAN, AL 36301-3042
(334) 793-3900
(334) 793-5227
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
063938
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
28408
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454780609A
—
GA
Enumeration date
11/02/2007
Last updated
07/10/2024
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