NPI: 1962634170 · GRENADA, MS 38901 · Family Medicine Physician · NPI assigned 08/20/2009
| Authorized Official | RIDDELL, MAL (OWNER) |
| NPI Enumeration Date | 08/20/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 203 | $9K |
| 2019 | 144 | $6K |
| 2020 | 99 | $5K |
| 2021 | 77 | $4K |
| 2022 | 13 | $799.48 |