Individual
TREVOR SEAN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1416 WAINBROOK DR, AUGUSTA, GA 30909-6289
(706) 312-3668
(706) 312-3680
Mailing address
1416 WAINBROOK DR, AUGUSTA, GA 30909-6289
(706) 312-3668
(706) 312-3680
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001309
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
PR354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003182162A
—
GA
Enumeration date
09/05/2013
Last updated
07/03/2019
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