NPI: 1376712448 · DYER, TN 38330 · Primary Care Clinic/Center · NPI assigned 02/22/2008
| Authorized Official | LEITHERLAND, EDNA (OWNER) |
| NPI Enumeration Date | 02/22/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 61 | $464.86 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 61 | 54 | $464.86 |