Individual
MERCIE M PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
830 ROCKFORD ST, MOUNT AIRY, NC 27030-5322
(336) 366-3564
Mailing address
194 JY-RO FARM LN., DOBSON, NC 27017
(336) 366-3564
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
177300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053404
—
NC
Enumeration date
09/15/2008
Last updated
01/14/2010
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