| NPI | 1790108058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CROXTON Owner 877-202-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2022-02-04 |