NPI: 1982321006 · PETERSBURG, VA 23803 · Primary Care Clinic/Center · NPI assigned 10/20/2022
| Authorized Official | CASON, EVELYN (OWNER) |
| NPI Enumeration Date | 10/20/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 20 | $610.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99442 | 20 | 14 | $610.32 |