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NPI Code Detail

MEDICARE: MEREDITH J PAYNE MD

MEDICARE:   MEREDITH J PAYNE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine Physician25076MO

General Provider Information

NPI Number : 1316064074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH J PAYNE MD
Provider Business Mailing Address
First Line : 720 COOL SPRINGS BLVD
Second Line : SUITE 300
City : FRANKLIN
State : TN
Zip : 37067-2626
Country : US
Telephone Number : 615-778-4066
Fax Number : 615-778-9114
Provider Business Practice Location Address
First Line : 1617 S 3RD ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-3839
Country : US
Telephone Number : 615-778-4066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 03/30/2011

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Directions to “ MEREDITH J PAYNE MD” Practice Location

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