Individual
ILIET PAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
603 BEAMAN ST STE 502, CLINTON, NC 28328-2650
(910) 590-8050
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-00834
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
2023-00834
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RTL-21-1026
NC
Other
Enumeration date
03/26/2021
Last updated
04/13/2026
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