NPI: 1447875042 · CHARLOTTESVILLE, VA 22901 · General Practice Physician · NPI assigned 06/10/2020
| Authorized Official | WAGNER, SCOTT (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 06/10/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 78 | $231.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J3490 | Unclassified drugs | 78 | 12 | $231.32 |