NPI: 1154632008 · FAIRHOPE, AL 36532 · Internal Medicine Physician · NPI assigned 06/25/2010
| Authorized Official | DE FOUR, FULTON (OWNER) |
| NPI Enumeration Date | 06/25/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 18 | $828.23 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99233 | Prolong inpt eval add15 m | 18 | 12 | $828.23 |