Individual
ELVIRA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7895
(864) 455-7807
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01086057A
IN
208000000X
Pediatrics Physician
LL52524
SC
Other
Enumeration date
06/05/2018
Last updated
12/10/2021
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