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Individual

JEFFREY E PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
126 S TRADD ST, STATESVILLE, NC 28677-5863
(704) 838-0990
(704) 838-0678
Mailing address
215 W BROAD ST, STATESVILLE, NC 28677-5259
(704) 838-0990
(704) 838-0678

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1997
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6908707
NC
Enumeration date
05/13/2006
Last updated
07/08/2007
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