| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | ANGIE RENEE COX RIDDLE · Riddle, Angie C | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | ANGIE | [sources] | |||
| Last name | COX RIDDLE | [sources] | |||
| Middle name | RENEE | [sources] | |||
| NPI | 1962745356 | [sources] | |||
| Sector | Nurse Practitioner | [sources] | |||
| Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 418 WIND DANCE DR, LEBANON, TN 37087 · 8350 US Highway 64 Bartlett, TN 38133-4130 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
Service providers who have been terminated for cause from Mississippi's Medicaid program.
United States · Mississippi Division of Medicaid
us-medms-0d5a1b1f64f69011b5ed16afe88c2704057acc11 · us-fed-excl-angie-renee-cox-riddle-37087-lebanonFor experts: raw data explorer
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| United States | Mississippi Division of Medicaid | - | - |