NPI: 1679696769 · GULFPORT, MS 39503 · Specialist · NPI assigned 04/06/2007
| Authorized Official | GADDY, IRA (OWNER) |
| NPI Enumeration Date | 04/06/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 26 | $160.47 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26 | 16 | $160.47 |