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General NPI Number Information
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NPI Number | 1669406591
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Entity Type | Organization
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Legal Business Name | GEORGIA HAND , SHOULDER AND ELBOW, P.C.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 2061 PEACHTREE RD NE STE 500
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City | ATLANTA
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State | GA
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Zip | 30309-1446
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Country | US
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Telephone | 404-352-3522
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Fax | 404-601-1235
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Provider Business Mailing Address
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Address Line | 1819 PEACHTREE RD NE SUITE 425
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City | ATLANTA
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State | GA
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Zip | 30309-1848
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Country | US
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Telephone | 404-352-3522
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Fax | 404-601-1235
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | SAMUEL HOUSTON PAYNE
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Credential | M.D.
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Telephone | 404-352-3522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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