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Individual

STEVEN W PAYNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1504 BROADRICK DR, DALTON, GA 30720
(706) 278-6403
(706) 278-0087
Mailing address
1504 BROADRICK DR, DALTON, GA 30720-3011
(706) 278-6403
(706) 278-0087

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30853
GA
208600000X
Surgery Physician
ME163818
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00370433A
GA
Enumeration date
05/16/2006
Last updated
01/25/2024
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