Payne, Larry Jeffrey

Payne, Larry Jeffrey is an individual health care provider with primary practice located at 1485 Jesse Jewell Parkway Ne Suite 100, Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Payne, Larry Jeffrey can be contacted via phone (770) 534-1711.

Contact Information

Primary practice address
1485 Jesse Jewell Parkway Ne Suite 100 Gainesville GA 30501
Phone: (770) 534-1711
Fax: (770) 532-2422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 034217 Georgia

Profile Details

NPI number 1366504474
LBN Legal business name Payne, Larry Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Mar 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366504474 NPPES
Georgia MEDICAID 00456222A

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