Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 06758 | MS |
NPI | 1003959818 |
---|---|
Provider Name | Dr. Joel G Payne JR. |
First Address | Flowood, MS 39232-9527 |
Second Address | Flowood, MS 39232-9527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 20/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00119440 | (05) | MS |
B30707 | (02) | MS |