Terry L Payne M.D.

NPI 1053396002 - Family Medicine - 207Q00000X

NPI Details
NPI 1053396002
Gender Male
Enumeration Date 12/13/2005
Last Updated 01/11/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
800 HOSPITAL DR
CRESTVIEW FL, 32539-7385, US
Phone (850) 682-1164
Fax (850) 682-5302
Business Location
2804 REMINGTON GREEN CIR STE 2
TALLAHASSEE FL, 32308-1550, US
Phone (850) 385-4494
Fax (850) 862-2302
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME57335
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According to our database, Dr. Terry L Payne M.D. NPI is 1053396002, taxonomy code is 207Q00000X and license number is ME57335, license state is located at Florida. Terry L Payne M.D. physically located at 800 Hospital Dr, Crestview FL, 32539-7385. NPI Number Terry L Payne M.D. has the Individual type.

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1053396002 NPI number is provided on an as is basis without warranty of any kind. 1053396002 is maintained by the National Plan & Provider Enumeration System. The contents of Terry L Payne M.D. are for informational purposes only.