NPI: 1063936623 · SNELLVILLE, GA 30078 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/26/2017
| Authorized Official | WILLIS, MOCO (OWNER) |
| NPI Enumeration Date | 07/26/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2397 | Addition to lower extremity orthosis, suspension sleeve | 13 | 13 | $0.00 |