Provider Demographics
NPI:1225078454
Name:PAYNE, JOSEPH DUANE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DUANE
Last Name:PAYNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1016 BRIGHTON DR.
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701
Mailing Address - Country:US
Mailing Address - Phone:865-977-1818
Mailing Address - Fax:865-977-1801
Practice Address - Street 1:1103 E. LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804
Practice Address - Country:US
Practice Address - Phone:865-977-1818
Practice Address - Fax:865-977-1801
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN34883207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH34526Medicare UPIN