Eysie Medical Associates, LLC | Make An Online Payment

Make An Online Payment
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To make a secure online payment using your VISA, MasterCard, American Express or Discover, please complete the form to the right and click "continue" to proceed to our secure server to enter your credit card information. Once your transaction is complete, a confirmation will be automatically sent to the e-mail address you provide.

Be sure to enter the information exactly as it appears on your credit card statement. If you have any questions, or would prefer to make your payment over the phone, please call our billing office at 770.785.4474.

Please note that charges will appear on your credit card statement as Eysie Medical Associates, LLC.

Billing Information
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Patient Name or Account Number

Cardholder Name

Billing Address

City

State

ZIP Code

Phone Number
Use this format: xxx-xxx-xxxx
E-Mail Address

Amount of Payment
Use this format: xxxx.xx