Provider Demographics
NPI:1497288773
Name:PAYNE, SAMUEL HOUSTON III (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:HOUSTON
Last Name:PAYNE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:2061 PEACHTREE RD NE STE 500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1446
Mailing Address - Country:US
Mailing Address - Phone:404-352-3522
Mailing Address - Fax:
Practice Address - Street 1:2061 PEACHTREE RD NE STE 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1446
Practice Address - Country:US
Practice Address - Phone:404-352-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2024-08-16
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Provider Licenses
StateLicense IDTaxonomies
GA85620208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery