NPI: 1891156469 · TALLASSEE, AL 36078 · Cardiovascular Disease Physician · NPI assigned 03/10/2016
| Authorized Official | PENNEY, KELIN (ADMINISTRATOR) |
| NPI Enumeration Date | 03/10/2016 |
Other providers sharing the same authorized official: PENNEY, KELIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| JACKSON HOSPITAL AND CLINIC INC. | MONTGOMERY | AL | $69K |
| JACKSON HOSPITAL AND CLINIC INC | MONTGOMERY | AL | $40K |
| JACKSON HOSPITAL AND CLINIC INC | MONTGOMERY | AL | $14K |
| JACKSON HOSPITAL AND CLINIC INC | MONTGOMERY | AL | $658.70 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 17 | $152.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 93000 | 17 | 17 | $152.44 |