Healthcare Provider Details

I. General information

NPI: 1568462257
Provider Name (Legal Business Name): WILLIAM A. CROTWELL III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 HILLCREST RD STE B
MOBILE AL
36695-3904
US

IV. Provider business mailing address

3610 SPRINGHILL MEMORIAL DR N
MOBILE AL
36608-1162
US

V. Phone/Fax

Practice location:
  • Phone: 251-272-4934
  • Fax: 251-460-5457
Mailing address:
  • Phone: 251-410-3600
  • Fax: 251-410-3700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number6657
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: