Organization
GILLIS L. PAYNE, JR., M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILLIS L. PAYNE JR. M.D. (PHYSICIAN/OWNER)
(334) 244-7209
Entity
Organization
Contact information
Practice address
7006 FULTON COURT, MONTGOMERY, AL 36117
(334) 244-7209
(334) 244-6604
Mailing address
7006 FULTON COURT, MONTGOMERY, AL 36117
(334) 244-7209
(334) 244-6604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004903
—
AL
01
—
51004903
BCBS
AL
Enumeration date
10/28/2009
Last updated
04/19/2011
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