David Taylor Payne IV, LAT, ATC

NPI #1356863294 in Kathleen, Georgia

Provider Information

NPI Number
1356863294
Entity Type
Individual
Name
David Taylor Payne IV, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Jul 12, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
105 BOB WHITE RD
State
Georgia
ZIP Code
31047
Phone
(478) 957-2535

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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Organizations

Provider Name
Gcsu Athletic Training

Part of Georgia College & State University

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