Individual
REBECCA A PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 2ND ST, COLUMBUS, IN 47201-6705
(812) 342-3339
(812) 342-3352
Mailing address
PO BOX 781076, DETROIT, MI 48278-1479
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01065667A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191350001
MEDICARE PTAN
—
05
—
200910410
—
IN
Enumeration date
08/26/2005
Last updated
08/22/2023
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