MEDICARE: ERIC PAYNE M.D., GENERAL INTERNAL MEDICINE, LLC

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
1	261Q00000X	Clinic/Center
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1356306864	OTHER	LA	NPI

General Provider Information

NPI Number	:	1508574922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC PAYNE M.D., GENERAL INTERNAL MEDICINE, LLC

Provider Business Mailing Address
First Line	:	2020 WASHINGTON ST
Second Line	:
City	:	FRANKLINTON
State	:	LA
Zip	:	70438-2533
Country	:	US
Telephone Number	:	985-322-2073
Fax Number	:	985-322-2076

Provider Business Practice Location Address
First Line	:	2020 WASHINGTON ST
Second Line	:
City	:	FRANKLINTON
State	:	LA
Zip	:	70438-2533
Country	:	US
Telephone Number	:	985-322-2073
Fax Number	:	985-322-2076

Authorized Official
Title or Position	:	MD
Name	:	DR. ERIC ALAN PAYNE
Credential	:	MD
Telephone Number	:	985-322-2073

Provider Enumeration Date	:	11/15/2022
Last Update Date	:	04/08/2026

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