Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Green, Roland Hale Jr. · ROLAND HALE JR GREEN · Roland Hale Green, Jr. | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Roland | [sources] | |||
Last name | GREEN · Green, Jr. | [sources] | |||
Middle name | HALE JR · Hale | [sources] | |||
NPI | 1477870749 | [sources] | |||
Registration number | C 159465 | [sources] | |||
Sector | Physician · Physician (MD, DO) - Internal Medicine | [sources] | |||
Position | INTERNAL MEDICINE (PHYSICIAN (MD, DO)) | [sources] | |||
Address | 1100 MERCER AVE, DECATUR, IN 46733 · 1527 Boundary Peak Way, Las Vegas, NV, 89135 · Augusta, GA 30912 | [sources] | |||
Last change | Last processed | First seen |
People and companies excluded from Federally funded health care programs
United States of America · OIG
Medical providers excluded from South Carolina's Medicaid program.
United States of America · SCDHHS
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
us-fed-excl-roland-hale-jr-green-46733-decatur
· us-medsc-8b07c423ca39ab6502376d384888431b4a6b3b1d
· us-medca-57a074c360a486f941a12a7c36d9321e368137c8
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United States of America | Department of Health Care Services | - | - |
United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |