All Medicaid billing entities listing BOLT, JACKIE (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| South Carolina | 1 | $18K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CAROLINA HOMECARE MED EQ CTR INC | GREENVILLE, SC | Customized Equipment (DME) | $18K |