Organization
PAYNE FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERCEDES VALENCIA PAYNE MD (MEDICAL DIRECTOR)
(540) 845-4139
Entity
Organization
Contact information
Practice address
2201 CHARLES ST, SUITE 102, FREDERICKSBURG, VA 22401-3378
(540) 845-4139
Mailing address
2201 CHARLES ST, SUITE 102, FREDERICKSBURG, VA 22401-3378
(540) 845-4139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0021550280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2276306
CIGNA
VA
01
—
7724414
AETNA
VA
Enumeration date
03/12/2008
Last updated
06/29/2009
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