Individual
CHARLES RIDGEWAY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3631 GRAND CENTRAL AVE, FULTONDALE, AL 35068-1997
(205) 535-6011
Mailing address
3631 GRAND CENTRAL AVE, FULTONDALE, AL 35068-1997
(205) 535-6011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-171896
AL
Other
Enumeration date
02/01/2023
Last updated
05/13/2025
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