NPI 1083602965

Gillis L Payne, MD

Practitioner Pediatrics Physician Montgomery, AL

Practice location

Address: 7006 Fulton CT, Montgomery, AL 36117-8022
Phone: (334) 244-7209
Fax: (334) 244-6604
Mailing address: 10036 Woodley Rd, Ramer, AL 36069-6531

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 5281 (AL)

Other Pediatrics providers in Alabama →

Registry record

NPI: 1083602965
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2005
Record last updated: 14 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.