Individual
DAWN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 FARMINGTON TRL, KINGSTON, TN 37763-2936
(865) 210-5431
Mailing address
217 FARMINGTON TRL, KINGSTON, TN 37763-2936
(865) 210-5431
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61963
TN
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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