Individual
DR. JOSEPH MINTER PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2221 S 17TH ST, WILMINGTON, NC 28401-7542
(910) 662-7720
(910) 815-0840
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-7720
(910) 815-0840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29494
NC
208C00000X
Colon & Rectal Surgery Physician
Primary
29494
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020030293
RAILROAD MEDICARE
NC
01
—
66291
BCBS NC
NC
05
—
8966291
—
NC
Enumeration date
07/17/2006
Last updated
05/27/2021
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