NPI | 1639121080 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY O CROXTON President 877-202-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RS0012X Internal Medicine, Sleep Medicine | |
293D00000X Physiological Laboratory | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2024-06-19 |