CHARLES RIDGEWAY PAYNE

FULTONDALE, AL
NPI1164128062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-171896)
Enumeration Date2023-02-01
Last Update Date2025-05-13
Business Address
CHARLES RIDGEWAY PAYNE
3631 GRAND CENTRAL AVE
FULTONDALE, AL 35068-1997
Phone number: 205-535-6011
Mailing Address
CHARLES RIDGEWAY PAYNE
3631 GRAND CENTRAL AVE
FULTONDALE, AL 35068-1997
Phone number: 205-535-6011
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