| Payne-butler Inc | |
|
2820 Ireton Pl Kannapolis NC 28083-4470 | |
| (704) 277-7031 | |
| Not Available |
| Full Name | Payne-butler Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2820 Ireton Pl, Kannapolis, North Carolina |
| Authorized Official Name and Position | Candace C. Payne-butler (OWNER) |
| Authorized Official Contact | 7042777031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Payne-butler Inc 2820 Ireton Pl Kannapolis NC 28083-4470 Ph: (704) 277-7031 | Payne-butler Inc 2820 Ireton Pl Kannapolis NC 28083-4470 Ph: (704) 277-7031 |
| NPI Number | 1861122087 |
|---|---|
| Provider Enumeration Date | 06/11/2022 |
| Last Update Date | 06/11/2022 |
| Certification Date | 06/11/2022 |
| Medicare PECOS PAC ID | 9931581675 |
|---|---|
| Medicare Enrollment ID | O20220728000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861122087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Candace C Payne-butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518078237 PECOS PAC ID: 7214938539 Enrollment ID: I20070129000486 |
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