Provider Demographics
NPI:1518218734
Name:PAYNE MCGREGOR WOMENS HEALTH, INC
Entity Type:Organization
Organization Name:PAYNE MCGREGOR WOMENS HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARROLL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-500-5600
Mailing Address - Street 1:1829 INDEPENDENCE SQ
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5153
Mailing Address - Country:US
Mailing Address - Phone:770-500-5600
Mailing Address - Fax:678-807-1307
Practice Address - Street 1:1829 INDEPENDENCE SQ
Practice Address - Street 2:SUITE 2
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5153
Practice Address - Country:US
Practice Address - Phone:770-500-5600
Practice Address - Fax:678-807-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055134207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty