Individual
HENRY PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1001 BURNT HICKORY RD NW, APT 231, MARIETTA, GA 30064-1368
(972) 185-9121
Mailing address
1001 BURNT HICKORY RD NW, APT 231, MARIETTA, GA 30064-1368
(972) 815-9121
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4396
GA
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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