Provider Demographics
NPI:1912067505
Name:PAYAN, JANA BETH (PAC)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:BETH
Last Name:PAYAN
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3951 SNAPFINGER PKWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3202
Mailing Address - Country:US
Mailing Address - Phone:404-284-5498
Mailing Address - Fax:
Practice Address - Street 1:3951 SNAPFINGER PKWY
Practice Address - Street 2:SUITE 350
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3202
Practice Address - Country:US
Practice Address - Phone:404-284-5498
Practice Address - Fax:404-284-3855
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA002840363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant