NPI: 1043903990 · SMYRNA, TN 37167 · Family Medicine Physician · NPI assigned 05/29/2023
| Authorized Official | GIST, KHAISHA (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 05/29/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 16 | $17.33 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 36415 | Collection of venous blood by venipuncture | 16 | 15 | $17.33 |