Individual
MELBA G. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4171 CHAMPAGNE LN, SUMTER, SC 29153-7795
(803) 469-4641
Mailing address
4171 CHAMPAGNE LN, SUMTER, SC 29153-7795
(803) 469-4641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50032
SC
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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