Blaine Payne, INC

NPI #1770943409 in Madison, Florida

Provider Information

NPI Number
1770943409
Entity Type
Organization
Organization Name
Blaine Payne, INC
Primary Specialty
Family Medicine - Geriatric Medicine
Enumeration Date
Feb 23, 2016
Last Updated
Jun 30, 2016

Practice Location

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

Authorized Official

Name
TAMMEY REVELS
Title
BUSINESS MANAGER
Phone
(850) 973-1215

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine

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