NPI | 1790108058 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY CROXTON Owner 877-202-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
207RP1001X Internal Medicine, Pulmonary Disease | |
246W00000X Technician, Cardiology | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2014-01-22 |
Last Update Date | 2024-06-19 |