Provider Demographics
NPI:1902168552
Name:PAYNE, ISAAC CHRISTOPHER (DO)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:CHRISTOPHER
Last Name:PAYNE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MOBILE INFIRMARY CIR STE 305
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3515
Mailing Address - Country:US
Mailing Address - Phone:251-433-5557
Mailing Address - Fax:
Practice Address - Street 1:3 MOBILE INFIRMARY CIR STE 305
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3515
Practice Address - Country:US
Practice Address - Phone:251-433-5557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO1385208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery