# CRESTANI FAMILY MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033166178
- **Authorized official:** PANDA JO PALMER (ACCOUNTS MANAGER)
- **Authorized official phone:** (256) 534-1323

## Contact information

- **Practice address:** 2745 BOB WALLACE AVE SW, SUITE D, HUNTSVILLE, AL 35805-4158
- **Practice address phone:** (256) 534-1323
- **Practice address fax:** (256) 534-1780
- **Mailing address:** PO BOX 2586, HUNTSVILLE, AL 35804-2586
- **Mailing address phone:** (256) 534-1323
- **Mailing address fax:** (256) 534-1780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23539 | AL | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020