DR. Theresa Blaine Baker Payne, D.O.

NPI #1306858956 in Madison, Florida

Provider Information

NPI Number: 1306858956
Entity Type: Individual
Name: DR. Theresa Blaine Baker Payne, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine - Geriatric Medicine
Credential: D.O.
Enumeration Date: Aug 12, 2006
Last Updated: Jun 30, 2016

Practice Location

Address: 180 NW HAYNES ST
City: Madison
State: Florida
ZIP Code: 32340-2010
Phone: (850) 973-1215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X	Primary
Family Medicine	207Q00000X

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Organizations

Provider Name	Specialty	City
Blaine Payne, INC	Family Medicine - Geriatric Medicine	Madison	AI Deep Dive

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