Individual
RYLEY JORDAN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 STATE ST APT 157, WEST COLUMBIA, SC 29169-7128
(336) 341-5897
Mailing address
800 STATE ST APT 157, WEST COLUMBIA, SC 29169-7128
(336) 341-5897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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