Organization
JAMES N PAYNE NP-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA SHARP WATKINS (CFO)
(601) 824-9010
Entity
Organization
Contact information
Practice address
5090 GAUTIER VANCLEAVE RD, GAUTIER, MS 39553-4803
(228) 522-6700
Mailing address
106A OFFICE PARK DR, BRANDON, MS 39042-2404
(601) 824-9010
(601) 824-9044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R865473
MS
Other
Enumeration date
10/06/2017
Last updated
03/17/2018
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