Individual
MR. CHARLES KEITH PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1835 ROSSER AVE, WAYNESBORO, VA 22980-3236
(540) 943-3113
(540) 943-3113
Mailing address
1835 ROSSER AVE, WAYNESBORO, VA 22980-3236
(540) 943-3113
(540) 943-3113
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101000645
VA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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