Individual
MR. LARRY PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-3905
(910) 450-4558
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-3905
(910) 450-4558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00250100
NJ
363A00000X
Physician Assistant
269
DC
363AM0700X
Medical Physician Assistant
Primary
000177-1
NY
Other
Enumeration date
04/23/2007
Last updated
01/04/2011
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