Provider Demographics
NPI:1376768838
Name:PAYTON, RAMONA G (FNP)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:G
Last Name:PAYTON
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:176 MARIETTA HWY
Mailing Address - Street 2:BUILDING A
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-1836
Mailing Address - Country:US
Mailing Address - Phone:678-945-8200
Mailing Address - Fax:678-945-8209
Practice Address - Street 1:176 MARIETTA HWY
Practice Address - Street 2:BUILDING A
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-1836
Practice Address - Country:US
Practice Address - Phone:678-945-8200
Practice Address - Fax:678-945-8209
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN084011363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily