Individual
JAMES SANFORD PAYNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
(706) 238-8072
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD000578
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD000578
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000329777A
—
GA
05
—
000709222A
—
GA
05
—
000709222C
—
GA
05
—
000709222G
—
GA
05
—
000709222H
—
GA
05
—
000709222I
—
GA
Enumeration date
01/08/2007
Last updated
03/01/2012
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