Healthcare Provider Details

I. General information

NPI: 1447218581
Provider Name (Legal Business Name): JAMES EEDS CROZIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 W STUART DR
GALAX VA
24333-2605
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 276-238-3318
  • Fax: 276-236-4204
Mailing address:
  • Phone: 276-238-3318
  • Fax: 276-236-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number9900466
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: