NPI: 1104943604 · JACKSON, MS 39213 · Primary Care Clinic/Center · NPI assigned 03/22/2007
| Authorized Official | THIGPEN, TYRONE (DATA PROJECT MANAGER) |
| NPI Enumeration Date | 03/22/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $321.34 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 17 | 17 | $321.34 |