| NPI | 1639121080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CROXTON, LL President 877-202-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-10-15 |