Marla Odom Payne is a Pediatrics in Hiram, Georgia. Marla Odom Payne practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marla Odom Payne is 1669696894. The last update date is 2007-07-09.
Marla Odom Payne's current location address is Po Box 921, Hiram, Georgia. You can contact this provider via phone number 7709437979 and fax number 7709437161. The mailing address for Marla Odom Payne is Po Box 921, Hiram, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marla Odom Payne |
|---|---|
| Address | Po Box 921, Hiram, Georgia |
| Phone Number | 7709437979 |
| Fax Number | 7709437161 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1669696894 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 921 |
|---|---|
| City | Hiram |
| State | Georgia (GA) |
| Post Code | 301410921 |
| Phone Number | 7709437979 |
| Fax Number | 7709437161 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT006034 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10052035 | GA | -- | |
| 347931 | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marla Odom Payne by the Centers for Medicare & Medicaid Services?
The Marla Odom Payne has been issued the NPI (National Provider Identifier) 1669696894 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Marla Odom Payne's facilities are geographically located?
The facilities of Marla Odom Payne are physically situated at the following location: Po Box 921, Hiram, GA, 301410921.
What is Marla Odom Payne's area of expertise and its corresponding taxonomy classification?
The Marla Odom Payne's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669696894 to Marla Odom Payne?
The Centers for Medicare & Medicaid Services originally issued the 1669696894 to Marla Odom Payne on 2007-04-12.
As of what date were the details related to Marla Odom Payne most recently updated or revised?
The information pertaining to Marla Odom Payne, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1023078763
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