Individual
MRS. LORI JACKSON PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 WHEATLEY DR, AMERICUS, GA 31709-3788
(229) 931-1265
(229) 931-1175
Mailing address
1872 PAYNE POND RD, WESTON, GA 31832-3136
(229) 942-1643
(229) 828-2140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
GA19085
GA
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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