NPI: 1588965586 · MOUNT PLEASANT, SC 29464 · Podiatrist · NPI assigned 11/07/2010
| Authorized Official | BOLDEN RAVENELL, TAMIKA (DPM/ OWNER) |
| NPI Enumeration Date | 11/07/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $52.26 |
| 2021 | 13 | $235.31 |
| 2022 | 12 | $34.84 |
| 2023 | 24 | $258.78 |
| 2024 | 53 | $253.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 115 | 114 | $834.69 |