Individual
JOHN DAVID PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3511 W MARKET ST STE 100, GREENSBORO, NC 27403-4444
(336) 522-8999
Mailing address
3026 FORESTSIDE DR, GREENSBORO, NC 27406-9406
(336) 209-6592
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0010-11906
NC
363A00000X
Physician Assistant
0010-11906
NC
Other
Enumeration date
01/21/2022
Last updated
03/21/2022
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