Organization
CRESTANI FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANDA JO PALMER (ACCOUNTS MANAGER)
(256) 534-1323
Entity
Organization
Contact information
Practice address
2745 BOB WALLACE AVE SW, SUITE D, HUNTSVILLE, AL 35805-4158
(256) 534-1323
(256) 534-1780
Mailing address
PO BOX 2586, HUNTSVILLE, AL 35804-2586
(256) 534-1323
(256) 534-1780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23539
AL
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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