NPI: 1548459597 · CONWAY, SC 29526 · Legal Medicine · NPI assigned 10/16/2007
| Authorized Official | DIETER, JONATHAN (OWNER) |
| NPI Enumeration Date | 10/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 61 | $849.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99307 | 61 | 59 | $849.15 |