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NPI Code Detail

MEDICARE: SHERIDAN E PAYNE

MEDICARE: SHERIDAN E PAYNE
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
1225100000XPhysical Therapist8177TN
2225100000XPhysical Therapist1325466TX
3225100000XPhysical TherapistPTH11005AL

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 : 1336390608
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERIDAN E PAYNE
Provider Business Mailing Address
First Line : 15 MCMULLEN LN SE
Second Line :
City : GURLEY
State : AL
Zip : 35748-8000
Country : US
Telephone Number : 931-239-7871
Fax Number :
Provider Business Practice Location Address
First Line : 12000 TURNMEYER DR SE
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35803-3358
Country : US
Telephone Number : 800-724-5335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2008
Last Update Date : 12/09/2024

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Directions to “ SHERIDAN E PAYNE ” Practice Location

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