Individual
BOBBY L PAYNE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 HABITAT ST, AMERICUS, GA 31709-3472
(229) 591-0967
Mailing address
206 PACKING HOUSE RD, AMERICUS, GA 31709-7934
(229) 942-1776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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