Cathrine Maryfaye Payne

Individual provider Active NPI Athletic Trainer · Hogansville, GA

NPI 1194359042 · NPPES record last updated Mar 1, 2020

Key facts

NPI
1194359042
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
637 W Main St
Hogansville, GA 30230-1036
Phone
(678) 552-8126
NPI assigned
Mar 1, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

637 W Main St
Hogansville, GA 30230-1036

Mailing address

637 W Main St
Hogansville, GA 30230-1036
Phone (678) 552-8126

Other providers in Hogansville, GA

All providers in Hogansville, GA · Athletic Trainer in Georgia

Sources for this page

Verify at the official NPI Registry.