NPI: 1740402130 · HOLLYWOOD, SC 29449 · Clinic/Center · NPI assigned 05/03/2007
| Authorized Official | DELAVAN, MARSHA (PRESIDENT) |
| NPI Enumeration Date | 05/03/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $405.65 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12 | 12 | $405.65 |