Most Relevant Information
Provider Data
| NPI Number: | 1003381591 |
| Provider Name: | JACQUELYN DENISE PAYNE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 9008 |
Most Important Dates
| Enumeration Date: | 10/10/2018 |
| Last Updated: | 09/28/2023 |
Provider Practice Location
840 PINE ST STE 500
MACON
GA
312017530
Practice Location Phone/Fax
| Phone: | 4786338682 |
| Fax: | 4786338698 |
Provider Mailing Location
840 PINE ST STE 500
MACON
GA
312017530
Provider Mailing Phone/Fax
| Phone: | 4786338682 |
| Fax: | 4786338698 |