Individual
DR. ADRIENNE MAXINE JACKSON-PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3574 HICKORY HILL RD, MEMPHIS, TN 38115-3827
(901) 365-9054
(901) 365-1159
Mailing address
3574 HICKORY HILL RD, MEMPHIS, TN 38115-3827
(901) 365-9054
(901) 365-1159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS00007038
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3202513
—
TN
Enumeration date
11/03/2006
Last updated
07/09/2007
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