NPI: 1073919148 · FORT MILL, SC 29707 · Point of Service · NPI assigned 11/17/2014
| Authorized Official | LUPO, KATHRYN (ASSOCIATE DIRECTOR) |
| NPI Enumeration Date | 11/17/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 98960 | 19 | 12 | $0.00 |