Charles Ridgeway Payne
NPI #1164128062 in Fultondale, Alabama
Provider Information
- NPI Number
- 1164128062
- Entity Type
- Individual
- Name
- Charles Ridgeway Payne
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 1, 2023
- Last Updated
- May 13, 2025
Practice Location
- Address
- 3631 GRAND CENTRAL AVE
- City
- Fultondale
- State
- Alabama
- ZIP Code
- 35068-1997
- Phone
- (205) 535-6011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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