Individual
SELENA JERI PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
613 CAMPUS DR STE 200, ABINGDON, VA 24210-9703
(276) 628-1186
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208029
VA
207Q00000X
Family Medicine Physician
12337
GA
Other
Enumeration date
04/22/2020
Last updated
12/05/2025
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