Individual
CLARK PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1102 THORNTON RD STE C, LITHIA SPRINGS, GA 30122-2688
(404) 629-9999
Mailing address
1102 THORNTON RD STE C, LITHIA SPRINGS, GA 30122-2688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011053
GA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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