Provider Demographics
NPI:1033852942
Name:PAYTON, MONICA LAFERN
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LAFERN
Last Name:PAYTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 QUAKER ROAD CT
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-1071
Mailing Address - Country:US
Mailing Address - Phone:706-495-7430
Mailing Address - Fax:
Practice Address - Street 1:906 QUAKER ROAD CT
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-1071
Practice Address - Country:US
Practice Address - Phone:706-495-7430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program