Individual
DR. THOMAS A PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-1422
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-1422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1329H
NCBCBS
NC
05
—
891329H
—
NC
05
—
I58484
—
SC
Enumeration date
07/27/2006
Last updated
11/07/2007
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