Payne, Inc | |
1205 Lyncrest Ave Jackson MS 39202-2106 | |
(601) 354-2101 | |
Not Available |
Full Name | Payne, Inc |
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Speciality | Clinic/center |
Location | 1205 Lyncrest Ave, Jackson, Mississippi |
Authorized Official Name and Position | Byrd Lamar Payne (PRESIDENT) |
Authorized Official Contact | 6013542101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Payne, Inc 1205 Lyncrest Ave Jackson MS 39202-2106 Ph: (601) 354-2101 | Payne, Inc 1205 Lyncrest Ave Jackson MS 39202-2106 Ph: (601) 354-2101 |
NPI Number | 1144453937 |
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Provider Enumeration Date | 08/27/2009 |
Last Update Date | 08/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144453937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 07350 (Mississippi) | Primary |
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