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Individual

DR. FAIRCHILD HOLLIDAY PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-5382
(706) 721-2371
(706) 721-6778
Mailing address
554 W MAIN ST, COOKEVILLE, TN 38506-5382
(931) 537-2254
(931) 537-2312

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10141
GA
1223G0001X
General Practice Dentistry
Primary
DN015021
GA

Other

Enumeration date
09/17/2015
Last updated
07/21/2022
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