Organization
PAYNE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRD LAMAR PAYNE M.D. (PRESIDENT)
(601) 354-2101
Entity
Organization
Contact information
Practice address
1205 LYNCREST AVE, JACKSON, MS 39202-2106
(601) 354-2101
Mailing address
1205 LYNCREST AVE, JACKSON, MS 39202-2106
(601) 354-2101
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
07350
MS
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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