# CRESTWOOD PHYSICIAN SERVICES, LLC

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

## Provider details

- **NPI number:** 1154622520
- **Authorized official:** JAMES PATRICK WRIGHT (VP PHYSICIAN BUSINESS SERVICES)
- **Authorized official phone:** (615) 778-1502

## Contact information

- **Practice address:** 4810 WHITESPORT CIR SW, SUITE 201, HUNTSVILLE, AL 35801-7419
- **Practice address phone:** (256) 429-5248
- **Practice address fax:** (256) 429-5247
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2010
- **Last updated:** 01/09/2020
