Healthcare Provider Details

I. General information

NPI: 1225243603
Provider Name (Legal Business Name): MONICA HANDY CRAWFORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 09/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 LEIGHTON AVE STE 101
ANNISTON AL
36207-3204
US

IV. Provider business mailing address

PO BOX 8133
ANNISTON AL
36202-8133
US

V. Phone/Fax

Practice location:
  • Phone: 256-240-7272
  • Fax:
Mailing address:
  • Phone: 256-454-7272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number26668
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: