NPI: 1740692813 · NEWNAN, GA 30265 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/23/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 34 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 34 | 34 | $2K |