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Individual

WILLIAM R PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
970 JOE FRANK HARRIS PKWY, STE 350, CARTERSVILLE, GA 30120
(770) 386-3011
(770) 386-9451
Mailing address
PO BOX 200429, CARTERSVILLE, GA 30120-9008
(770) 386-3011
(770) 386-9451

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028856
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00328413D
GA
Enumeration date
06/06/2006
Last updated
01/29/2009
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