NPI: 1265203384 · MOUNT GILEAD, OH 43338 · Pediatrics Physician · NPI assigned 01/09/2024
| Authorized Official | GRAVITT, MARTIE (OWNER) |
| NPI Enumeration Date | 01/09/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 15 | $33.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99173 | 15 | 15 | $33.60 |