NPI: 1164813036 · LYNCHBURG, VA 24501 · Emergency Medicine Physician · NPI assigned 02/12/2015
| Authorized Official | KOONS, JOSEPH (MANAGING DIRECTOR) |
| NPI Enumeration Date | 02/12/2015 |
Other providers sharing the same authorized official: KOONS, JOSEPH
| Provider | City | State | Total Paid |
|---|---|---|---|
| CENTRA MEDICAL GROUP, LLC | GRETNA | VA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 73 | $865.21 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99217 | 73 | 56 | $865.21 |