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Organization
FAMILY PSYCHIATRI CARE, PLLC
Active
Organization
FAMILY PSYCHIATRI CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN PAULETTE PAYNE FNP (OWNER)
(704) 788-1572
Entity
Organization
Contact information
Practice address
1723 ARMSTRONG PARK DR, GASTONIA, NC 28054-4802
(704) 854-9828
Mailing address
1520 CHADMORE LN NW, CONCORD, NC 28027-9084
(704) 788-1572
(704) 788-1572
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005040
—
NC
Enumeration date
08/21/2007
Last updated
08/21/2007
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