NPI: 1821085366 · FLORENCE, SC 29501 · Podiatrist · NPI assigned 09/30/2005
| Authorized Official | JACOBUS, DWAYNE (OWNER) |
| NPI Enumeration Date | 09/30/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 31 | $497.55 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 99307 | 31 | 28 | $497.55 |