Organization
PAYNE & PAYNE, PC
Active
Other names
South Forsyth/Alpharetta Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY WADE PAYNE OD (OWNER)
(770) 232-7844
Entity
Organization
Contact information
Practice address
4330 JOHNS CREEK PKWY, SUITE 300, SUWANEE, GA 30024-6047
(770) 232-7844
(770) 232-9455
Mailing address
4330 JOHNS CREEK PKWY, SUITE 300, SUWANEE, GA 30024-6047
(770) 232-7844
(770) 232-9455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG5938
RAILROAD MEDICARE
GA
Enumeration date
10/11/2007
Last updated
04/27/2021
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