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WANDLE KEITH BUTLER

Debarred entity

WANDLE KEITH BUTLER is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	WANDLE KEITH BUTLER				[sources]
Birth date	1964-07-26				[sources]
Nationality	not available				[sources]
Country	United States of America				[sources]
First name	WANDLE				[sources]
Last name	BUTLER				[sources]
Middle name	KEITH				[sources]
NPI	`1689897209`				[sources]
Unique Entity ID	`RNKNWJH7HGC1`				[sources]
Position	PHYSICIAN ASSISTANT (IND- LIC HC SERV PRO)				[sources]
Address	1006 LYNES AVE, #64968-509, JESUP, GA 31415 · JESUP, GA 31415, USA				[sources]
Last change	2025-09-12	Last processed	2025-10-03	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States of America	Georgia Department of Community Health		2023-04-28	-

Providers who have been terminated for cause from Georgia's Medicaid program.

United States of America · DCH

People and companies excluded from Federally funded health care programs

United States of America · OIG

A database of suppliers who have been excluded from participating in US federal procurement.

United States of America · GSA

Source data IDs: us-medga-9e3b3e91bd025ef185e73a3a17cafdcb3bb2fc99 · us-fed-excl-wandle-keith-butler-31415-jesup

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