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1548021801
JACK ANDREW PAYNE
GOOSE CREEK, SC
NPI
1548021801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 5179)
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
JACK ANDREW PAYNE PA
7 S ALLIANCE DR STE 211B
GOOSE CREEK, SC 29445-7297
Phone number: 843-553-4383
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Mailing Address
JACK ANDREW PAYNE PA
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 843-572-7727
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