Individual
DR. MUHAMAD MAZEN FESTOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 PELHAM RD S, JACKSONVILLE, AL 36265-3032
(256) 435-5325
(256) 435-8431
Mailing address
1460 B 2ND AVE SW, B, JACKSONVILLE, AL 36265
(256) 435-5325
(256) 435-8431
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16254
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000085813
—
AL
Enumeration date
09/01/2006
Last updated
02/25/2019
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