NPI: 1023784279 · MOUNTAIN BRK, AL 35213 · Dermatopathology (Pathology) Physician · NPI assigned 08/18/2021
| Authorized Official | FRAVEL, CAROL (DIRECTOR OF MANAGED CARE) |
| NPI Enumeration Date | 08/18/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 705 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 705 | 597 | $8K |