Individual
BRYAN P. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2555 COURT DR STE 450, GASTONIA, NC 28054
(704) 671-7652
(704) 671-7656
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2019-00926
NC
208600000X
Surgery Physician
5101021272
MI
Other
Enumeration date
06/30/2014
Last updated
07/12/2019
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