NPI: 1992082788 · DYERSBURG, TN 38024 · Exclusive Provider Organization · NPI assigned 11/08/2011
| Authorized Official | LO, ANDREA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/08/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 278 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2022 | Case management, per month | 278 | 278 | $68K |