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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAYTON HUNTER LACK, AUD

Active Sole Proprietor

PAYTON HUNTER LACK, AUD is a Audiologist healthcare provider located in GREENSBORO, Georgia. NPI 1043901390 is currently active in the NPPES registry. Verify at CMS.

Audiologist · GREENSBORO, GA

Registration Details

NPI Number
1043901390
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2023 (3.2722261075957 yrs)
Last Updated
May 17, 2023
License
AUD004368 (GA)
Sole Proprietor
Yes

Practice Information

Address
1051 PARKSIDE CMNS STE 103
GREENSBORO, GA, 306424517
Browse GA providers · Browse ZIP 30642
Phone
7066234425
Primary Specialty
Audiologist
231H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.