Mary  M  Crestani    MD
Contract Details
Apollo Urgent Care
Facility name
Provider ID
P000000362
NPI
1518936178
Tax ID
205038159
Effective Date
8/1/2007
Last Updated
9/29/2016
Direct Contract
Yes
Term Date
9/27/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2745 Bob Wallace Avenue Southwest Suite F
Huntsville, AL 35805
United States
County
Madison
Phone
2565343552 (Phone)
Billing Details
Address
2745 Bob Wallace Avenue Southwest
Suite F
Huntsville, AL 35805
Specialty Type
Family Practice
Map
Address