Individual
MR. DENNIS RAY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-2720
Mailing address
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-2720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD05994
AR
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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