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Individual

BRYAN CHESLEY PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(678) 216-0771
Mailing address
10 LISA CT, STOCKBRIDGE, GA 30281-4994
(404) 693-4655

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
6266
GA

Other

Enumeration date
04/23/2011
Last updated
02/09/2024
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