NPI: 1457344988 · WARRENSVILLE, NC 28693 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/30/2005
| Authorized Official | HODGES, SPENCER (VICE PRESIDENT) |
| NPI Enumeration Date | 08/30/2005 |
Other providers sharing the same authorized official: HODGES, SPENCER
| Provider | City | State | Total Paid |
|---|---|---|---|
| BOONE DRUGS INC | MOUNTAIN CITY | TN | $7K |
| EBP LLC | HILDEBRAN | NC | $715.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 24 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91300 | 24 | 17 | $0.00 |