Individual
MRS. ANTOINETTE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1200
Mailing address
3440 BRIAR RIDGE LN, SNELLVILLE, GA 30039-8625
(770) 490-4182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH016915
GA
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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