NPI: 1003472804 · YOUNGSVILLE, NC 27596 · Multi-Specialty Clinic/Center · NPI assigned 05/16/2019
| Authorized Official | QUALTER, JACLYN (OWNER/PROVIDER) |
| NPI Enumeration Date | 05/16/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 28 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 28 | 25 | $2K |