Individual
DR. DAVID HANSELL PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 ARLINGTON DR, VIDALIA, GA 30474-7209
(912) 537-2530
(912) 537-2540
Mailing address
205 ARLINGTON DR, VIDALIA, GA 30474-7209
(912) 537-2530
(912) 537-2540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028618
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750325452
NPI
GA
Enumeration date
06/15/2006
Last updated
11/27/2024
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