Joan Marian Payne, RDN, LDN | |
8118 Shady Pl, Brentwood, TN 37027-7345 | |
(615) 585-7697 | |
Not Available |
Full Name | Joan Marian Payne |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 8118 Shady Pl, Brentwood, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962113290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 446 (Tennessee) | Primary |
Provider Name | Edisonhealth Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447850912 PECOS PAC ID: 7214332220 Enrollment ID: O20210827003081 |
Mailing Address | Practice Location Address |
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Joan Marian Payne, RDN, LDN 8118 Shady Pl, Brentwood, TN 37027-7345 Ph: (615) 585-7697 | Joan Marian Payne, RDN, LDN 8118 Shady Pl, Brentwood, TN 37027-7345 Ph: (615) 585-7697 |
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