# DR CELESTE REESE WILLIS MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DCRW MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083228597
- **Authorized official:** DR. CELESTE REESE WILLIS MD (CEO)
- **Authorized official phone:** (205) 291-8842

## Contact information

- **Practice address:** 401 TUSCALOOSA AVE SW STE 210, BIRMINGHAM, AL 35211-1486
- **Practice address phone:** (205) 291-8842
- **Practice address fax:** (205) 235-9592
- **Mailing address:** 944 NARROWS POINT DR, BIRMINGHAM, AL 35242-8672
- **Mailing address phone:** (205) 747-9340
- **Mailing address fax:** (205) 235-9592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 03/02/2023