Individual
ANDREA L. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 815-3420
Mailing address
PO BOX 602539, CHARLOTTE, NC 28260-2539
(910) 815-3420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103641
NC
Other
Enumeration date
06/07/2006
Last updated
06/08/2012
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