Individual
WESLEY C CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 FITNESS WAY, STE 1100, ATHENS, AL 35611-3620
(256) 233-0712
(256) 233-3535
Mailing address
101 FITNESS WAY, SUITE 1100, ATHENS, AL 35611-3620
(256) 233-0712
(256) 233-3535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25244
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009927945
—
AL
01
—
51517667
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/14/2006
Last updated
10/07/2020
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