NPI: 1548413628 · TUPELO, MS 38804 · Multi-Specialty Clinic/Center · NPI assigned 11/03/2008
| Authorized Official | STALL, STEVEN (CFO) |
| NPI Enumeration Date | 11/03/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $865.15 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 93000 | 15 | 13 | $865.15 |