Individual
REBECCA LYNNE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-2300
Mailing address
169 ASHLEY AVE., CHALESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30995
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309954
—
SC
Enumeration date
09/04/2008
Last updated
05/03/2024
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