Individual
BURGANDY ANN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N 3RD AVE, CHATSWORTH, GA 30705-2540
(706) 695-0444
(706) 517-5157
Mailing address
138 PAYNE RD, DELANO, TN 37325-7027
(423) 715-7592
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH032154
GA
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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