NPI: 1235146069 · MONTGOMERY, AL 36130 · Public Health & General Preventive Medicine Physician · NPI assigned 08/02/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23 | $876.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 23 | 21 | $876.40 |