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Individual

BLANCHE PAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1023 WOODBURY RD, CANTON, GA 30114-1813
(708) 359-2286
Mailing address
1023 WOODBURY RD, CANTON, GA 30114-1813
(708) 359-2286

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN246508
GA

Other

Enumeration date
07/26/2021
Last updated
05/13/2025
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