Canonical ID: NK-HVJJmTAHdyWL2FbbGYPREt · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 219 N DUNCAN BYP, UNION, SC 293792667 | ext_us_cms_npi | us-npi-1871572495 | ||||
Person:address | PO BOX 606, UNION, SC 293790606 | ext_us_cms_npi | us-npi-1871572495 | ||||
LegalEntity:address | Union, SC 29380 | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
Person:country | us | ext_us_cms_npi | us-npi-1871572495 | ||||
LegalEntity:country | us | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | ||||
Person:firstName | JIMMY | ext_us_cms_npi | us-npi-1871572495 | ||||
Person:id | a5eb0604ac8b55934e813570dab4117c8cbb29ca | ext_us_cms_npi | us-npi-1871572495 | ||||
LegalEntity:id | ec6bc320d3e6f74ec13e4736cda36aba840f000b | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | ||||
Person:lastName | FOWLER | ext_us_cms_npi | us-npi-1871572495 | ||||
Person:middleName | DEAN | ext_us_cms_npi | us-npi-1871572495 | ||||
LegalEntity:name | Fowler, Jimmy Dean | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
Person:name | JIMMY DEAN FOWLER | ext_us_cms_npi | us-npi-1871572495 | ||||
Person:npiCode | 1871572495 | ext_us_cms_npi | us-npi-1871572495 | ||||
LegalEntity:npiCode | 1871572495 | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
LegalEntity:sector | Medical Practice, MD - General Practice | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
Person:title | DR. | ext_us_cms_npi | us-npi-1871572495 | ||||
LegalEntity:topics | debarment | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | ||||