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NPI Code Detail

MEDICARE: CHERYL L PAYNE MD

MEDICARE: CHERYL L 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
12085R0001XRadiation Oncology PhysicianE0765AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912993619
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL L PAYNE MD
Provider Business Mailing Address
First Line : PO BOX 55050
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72215-5050
Country : US
Telephone Number : 501-906-3000
Fax Number : 501-907-6522
Provider Business Practice Location Address
First Line : 8901 CARTI WAY
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-6523
Country : US
Telephone Number : 501-906-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 01/29/2021

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