Individual
CELESTE REESE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 TUSCALOOSA AVE SW STE 210, BIRMINGHAM, AL 35211-1486
(205) 291-8842
(205) 235-9592
Mailing address
944 NARROWS POINT DR, BIRMINGHAM, AL 35242-8672
(205) 291-8842
(205) 235-9592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26026
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938946
—
AL
01
—
167582201
FEDERAL BLACK LUNG
—
01
—
51536439
BCBS
AL
01
—
631053058026
TRICARE
AL
01
—
783802
AETNA
—
01
—
I16326
HEALTHSPRING OF AL
AL
Enumeration date
03/02/2006
Last updated
09/26/2024
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