Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | PRODIGY HEALTHCARE, INC | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | PHYSICIAN PRACTICE ( · RADIOLOGY | [sources] | |||
NPI | 1215980594 | [sources] | |||
Registration number | not available | [sources] | |||
Sector | MD/DO PRACTICE | [sources] | |||
Address | 621 NORTH AVE, STE C-30, ATLANTA, GA 30354 | [sources] | |||
Last change | Last processed | First seen |
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
us-fed-excl-prodigy-healthcare-inc-30354-atlanta
· us-medga-abd358ec1e83f7c7aee8bccb57ba31f06e05acf6
For experts: raw data explorer
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United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |