Individual
MR. CARLOS ENRIQUE LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-3939
Mailing address
181 KESTWICK DR W, MARTINEZ, GA 30907-1687
(706) 860-9591
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002585
GA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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