Provider Demographics
NPI:1629027081
Name:PAYNE, DENNIS B (CP)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:B
Last Name:PAYNE
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3001 EDWARDS MILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5243
Mailing Address - Country:US
Mailing Address - Phone:919-781-5600
Mailing Address - Fax:919-782-6578
Practice Address - Street 1:3001 EDWARDS MILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5243
Practice Address - Country:US
Practice Address - Phone:919-781-5600
Practice Address - Fax:919-782-6578
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2013-07-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter