Individual
GARRY MICHAEL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
2392 HUBER LN, TERRE HAUTE, IN 47802-3484
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28231821A
IN
Other
Enumeration date
11/13/2019
Last updated
06/03/2024
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