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Individual

MRS. CARMEN S PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
309 JACKSON ST 4TH FLOOR NICU, MONROE, LA 71201-7407
(318) 327-4917
(318) 327-4916
Mailing address
P.O. BOX 1401, MONROE, LA 71210-1401
(318) 966-4917
(318) 966-4916

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
10844R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142665001
AR
05
1659746
LA
Enumeration date
11/08/2006
Last updated
06/26/2018
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