Canonical ID: us-medms-3d44aa02c269ef0754fb1670d15ee622b6203c42
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 5903 Ridgewood Rd, Suite 310, Jackson, MS 39211 | eng | us_ms_med_exclusions | us-medms-3d44aa02c269ef0754fb1670d15ee622b6203c42 | |||
LegalEntity:country | us | eng | us_ms_med_exclusions | us-medms-3d44aa02c269ef0754fb1670d15ee622b6203c42 | |||
LegalEntity:id | 7cc38e456fbccce012faf5c669227939fafe2f0b | eng | us_ms_med_exclusions | us-medms-3d44aa02c269ef0754fb1670d15ee622b6203c42 | |||
LegalEntity:name | Reddix, Carl | eng | us_ms_med_exclusions | us-medms-3d44aa02c269ef0754fb1670d15ee622b6203c42 | |||
LegalEntity:npiCode | 1619981107 | eng | us_ms_med_exclusions | us-medms-3d44aa02c269ef0754fb1670d15ee622b6203c42 | |||
LegalEntity:sector | Physician | eng | us_ms_med_exclusions | us-medms-3d44aa02c269ef0754fb1670d15ee622b6203c42 | |||
LegalEntity:topics | debarment | eng | us_ms_med_exclusions | us-medms-3d44aa02c269ef0754fb1670d15ee622b6203c42 |