Provider Demographics
NPI:1740349240
Name:PAYNE, JOHN FREDERICK (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FREDERICK
Last Name:PAYNE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:17 CALEDON COURT, SUITE C
Mailing Address - Street 2:PIEDMONT REPRODUCTIVE ENDOCRINOLOGY GROUP (PREG)
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3170
Mailing Address - Country:US
Mailing Address - Phone:864-232-7734
Mailing Address - Fax:864-232-7099
Practice Address - Street 1:17 CALEDON COURT, SUITE C
Practice Address - Street 2:PIEDMONT REPRODUCTIVE ENDOCRINOLOGY GROUP (PREG)
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3170
Practice Address - Country:US
Practice Address - Phone:864-232-7734
Practice Address - Fax:864-232-7099
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2020-07-23
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Provider Licenses
StateLicense IDTaxonomies
NC94-00609 CER#56616207VE0102X
SC29794207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH46262Medicare UPIN