Individual
JOSEPH PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211
(704) 332-1291
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42145
KY
2085R0202X
Diagnostic Radiology Physician
Primary
2018-01312
NC
2085R0202X
Diagnostic Radiology Physician
42145
KY
Other
Enumeration date
01/04/2007
Last updated
09/13/2020
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