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Individual
MATTHEW W PAYNE
Active
Individual
MATTHEW W PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101238988
VA
207Q00000X
Family Medicine Physician
Primary
2012-01670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302198
ANTHEM
VA
01
—
C06695
GROUP PTAN
VA
Enumeration date
12/06/2006
Last updated
02/01/2013
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