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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366504474 | NPPES |
| Georgia | MEDICAID | 00456222A |
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