Payne, Sandra C

Payne, Sandra C is an individual health care provider with primary practice located at 3209 Colonial Dr , Columbia SC 29203-6930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Payne, Sandra C can be contacted via phone (803) 434-6113.

Contact Information

Primary practice address
3209 Colonial Dr Columbia SC 29203-6930
Fax: (803) 434-7231
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13660 South Carolina

Profile Details

NPI number 1487629960
LBN Legal business name Payne, Sandra C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Dec 4th, 2008 - about 16 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 1487629960 NPPES
South Carolina MEDICAID NP0118

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