NPI: 1215159793 · JACKSON, MS 39211 · Allergy & Immunology Physician · NPI assigned 05/03/2007
| Authorized Official | PRICE, DONNA (OFFICE MANAGER) |
| NPI Enumeration Date | 05/03/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 157 | $857.77 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 95117 | 157 | 64 | $857.77 |