NPI: 1225442783 · ATLANTA, GA 30312 · Clinic/Center · NPI assigned 06/12/2014
| Authorized Official | BUCHANAN, CONNIE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/12/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $87.84 |
| 2019 | 18 | $36.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 86580 | 34 | 27 | $124.44 |