Individual
TERRY A PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 FAISON DR, COLUMBIA, SC 29203-3218
(803) 898-8405
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12586
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125867
—
SC
Enumeration date
07/14/2006
Last updated
02/26/2010
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