Provider Demographics
NPI:1336445543
Name:PAYNE, FRANKLIN VAUGHN (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:VAUGHN
Last Name:PAYNE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 INNSDALE CV
Mailing Address - Street 2:SUITE F
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3920
Mailing Address - Country:US
Mailing Address - Phone:731-660-6212
Mailing Address - Fax:731-660-6214
Practice Address - Street 1:80 INNSDALE CV
Practice Address - Street 2:SUITE F
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3920
Practice Address - Country:US
Practice Address - Phone:731-660-6212
Practice Address - Fax:731-660-6214
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-04
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor