NPI: 1750730628 · NORFOLK, VA 23502 · Primary Podiatric Medicine Podiatrist · NPI assigned 06/10/2016
| Authorized Official | HOLMES, EDNA (OWNER) |
| NPI Enumeration Date | 06/10/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $167.82 |
| 2020 | 13 | $151.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 29 | 24 | $319.12 |