NPI: 1225210172 · SISSONVILLE, WV 25320 · Medical Specialty Clinic/Center · NPI assigned 12/03/2007
| Authorized Official | THAXTON, STEPHEN (MANAGER) |
| NPI Enumeration Date | 12/03/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 24 | $73.14 |
| 2021 | 66 | $507.37 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 98940 | 90 | 42 | $580.51 |