NPI: 1386214757 · TULLAHOMA, TN 37388 · Certified Registered Nurse Anesthetist · NPI assigned 06/29/2021
| Authorized Official | BENNETT, JONATHAN (SOLE MEMBER) |
| NPI Enumeration Date | 06/29/2021 |
Other providers sharing the same authorized official: BENNETT, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| ORANGE COUNTY FOOT AND ANKLE GROUP, INC. | FULLERTON | CA | $895K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 52 | $4K |