Payne, Michael W

Payne, Michael W is an individual health care provider with primary practice located at 2 Innovation Dr Suite 400, Greenville SC 29607-5261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Payne, Michael W can be contacted via phone (864) 235-7665.

Contact Information

Primary practice address
2 Innovation Dr Suite 400 Greenville SC 29607-5261
Fax: (864) 233-5971
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11068 South Carolina

Profile Details

NPI number 1063404622
LBN Legal business name Payne, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063404622 NPPES
South Carolina MEDICAID GP0975

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