Individual
MS. SANDRA C PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6113
(803) 434-7231
Mailing address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6116
(803) 434-7529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13660
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0118
—
SC
Enumeration date
02/20/2006
Last updated
12/04/2008
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