Individual
JACQUELYN PAYNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2796 HIGHWAY 20 SE, CONYERS, GA 30013-2735
(678) 374-5134
Mailing address
5674 SOUTHCREST LN, LITHONIA, GA 30038-6132
(770) 685-1712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN204761
GA
Other
Enumeration date
08/05/2016
Last updated
08/10/2016
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