NPI: 1073986410 · BRENTWOOD, TN 37027 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 11/06/2015
| Authorized Official | WALLSTEDT, JACOB (CHIEF OF BUSINESS DEVELOPMENT) |
| NPI Enumeration Date | 11/06/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 20 | $0.00 |
| 2022 | 63 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99336 | 83 | 62 | $0.00 |