Craycraft Payne, Amy Marie

Craycraft Payne, Amy Marie is an individual health care provider with primary practice located at 1201 West Ave , North Augusta SC 29841-3350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Craycraft Payne, Amy Marie can be contacted via phone (803) 279-1030.

Contact Information

Primary practice address
1201 West Ave North Augusta SC 29841-3350
Phone: (803) 279-1030
Fax: (803) 278-1344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 58048 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30432 South Carolina

Profile Details

NPI number 1124134762
LBN Legal business name Craycraft Payne, Amy Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 7th, 2023 - about 3 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 1124134762 NPPES
Georgia Other 102I081896 MEDICARE
Georgia Other 058408 MEDICARE
Georgia Other 30432 MEDICARE
Georgia MEDICAID G58408 MEDICARE
Georgia Other 20-30432 MEDICARE
Georgia Other SC5305D839 MEDICARE

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