NPI: 1518692797 · EDENTON, NC 27932 · Primary Care Clinic/Center · NPI assigned 07/20/2022
| Authorized Official | BRYAN, IAN (CEO) |
| NPI Enumeration Date | 07/20/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 47 | $117.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 47 | 47 | $117.50 |