Payton Hunter Lack, AUD | |
1051 Parkside Cmns Ste 103, Greensboro, GA 30642-4517 | |
(706) 623-4425 | |
Not Available |
Full Name | Payton Hunter Lack |
---|---|
Gender | Male |
Speciality | Audiologist |
Location | 1051 Parkside Cmns Ste 103, Greensboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043901390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AUD004368 (Georgia) | Primary |
Provider Name | Premier Audiology Associates, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245994904 PECOS PAC ID: 4789075565 Enrollment ID: O20220105001925 |
Mailing Address | Practice Location Address |
---|---|
Payton Hunter Lack, AUD 1051 Parkside Cmns Ste 103, Greensboro, GA 30642-4517 Ph: (706) 623-4425 | Payton Hunter Lack, AUD 1051 Parkside Cmns Ste 103, Greensboro, GA 30642-4517 Ph: (706) 623-4425 |
The Hearing Center At Lake Oconee Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1041 Founders Row, Suite B, Greensboro, GA 30642 Phone: 706-453-1688 Fax: 706-453-2884 | |
Atlanta Hearing Associates Of Lake Oconee, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1051 Parkside Cmns, Suite 103, Greensboro, GA 30642 Phone: 706-454-0578 Fax: 706-454-0575 |