All Medicaid billing entities listing HOLYFIELD, DEREK (MANAGING PARTNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $474.20 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DYER STATION PHARMACY, LLC | DYER, TN | Durable Medical Equipment & Medical Supplies | $474.20 |