Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THERESA BLAINE BAKER PAYNE, D.O.
Active Sole ProprietorDR. THERESA BLAINE BAKER PAYNE, D.O. is a Geriatric Medicine healthcare provider located in MADISON, Florida. NPI 1306858956 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · MADISON, FL
Registration Details
- NPI Number
- 1306858956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2006 (20.000635793915 yrs)
- Last Updated
- Jun 30, 2016
- Licenses
-
OS9255 (FL)OS9255 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
180 NW HAYNES STMADISON, FL, 323402010Browse FL providers · Browse ZIP 32340
- Phone
- 8509731215
- Fax
- 8669234163
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.