Individual
ERICA QUITERRA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 VININGS DR, MCDONOUGH, GA 30253-5994
(770) 302-6780
(678) 782-3776
Mailing address
290 COUNTRY CLUB DR, SUITE 220, STOCKBRIDGE, GA 30281-9069
(770) 302-6780
(678) 782-3776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN195334
GA
363LF0000X
Family Nurse Practitioner
Primary
RN195334
GA
Other
Enumeration date
01/19/2016
Last updated
06/22/2016
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