Individual
DR. JOHN P. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
971 LAKELAND DR, STE. 850, JACKSON, MS 39216-4608
(601) 981-8543
(601) 364-5498
Mailing address
971 LAKELAND DR, STE. 850, JACKSON, MS 39216-4608
(601) 981-8543
(601) 364-5498
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
17690
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125908
—
MS
05
—
1135585
—
LA
01
—
P00628046
RAILROAD
MS
01
—
RR 060069250
RAILROAD
MS
Enumeration date
07/25/2006
Last updated
06/01/2011
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