Individual
MICHAEL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 445-6900
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16218
NC
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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