All Medicaid billing entities listing SHACKELFORD, TAMMY (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 1 | $736.20 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LUCY CORR FOUNDATION, INC. | CHESTERFIELD, VA | Public Health Dentist | $736.20 |