Individual
DR. LARRY JEFFREY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1485 JESSE JEWELL PARKWAY NE, SUITE 100, GAINESVILLE, GA 30501
(770) 534-1711
(770) 532-2422
Mailing address
1485 JESSE JEWELL PARKWAY NE, SUITE 100, GAINESVILLE, GA 30501
(770) 534-1711
(770) 532-2422
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
034217
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00456222A
—
GA
Enumeration date
12/14/2006
Last updated
03/04/2014
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