Canonical ID: NK-KFxeiiE7mHUhBrf84HnDVS · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 2922 PROFESSIONAL PKWY, AUGUSTA, GA 309076528 | ext_us_cms_npi | us-npi-1497831192 | ||||
LegalEntity:address | Aiken, SC 29803 | eng | us_sc_med_exclusions | us-medsc-715d1a7105885c5bb8d02ec0a7fa9213502d33ef | |||
LegalEntity:country | us | us_sc_med_exclusions | us-medsc-715d1a7105885c5bb8d02ec0a7fa9213502d33ef | ||||
Person:country | us | ext_us_cms_npi | us-npi-1497831192 | ||||
Person:firstName | CLYDE | ext_us_cms_npi | us-npi-1497831192 | ||||
Person:id | 2fcc6866f9e3b4891b6e200191ec4656f51fe77b | ext_us_cms_npi | us-npi-1497831192 | ||||
LegalEntity:id | ba120b9b5bced8ae8021efeda762eba0878f8f5b | us_sc_med_exclusions | us-medsc-715d1a7105885c5bb8d02ec0a7fa9213502d33ef | ||||
Person:lastName | MCTIER | ext_us_cms_npi | us-npi-1497831192 | ||||
Person:middleName | LUIS | ext_us_cms_npi | us-npi-1497831192 | ||||
LegalEntity:name | McTier, Jr., Clyde Luis | eng | us_sc_med_exclusions | us-medsc-715d1a7105885c5bb8d02ec0a7fa9213502d33ef | |||
Person:name | CLYDE LUIS MCTIER | ext_us_cms_npi | us-npi-1497831192 | ||||
LegalEntity:npiCode | 1497831192 | eng | us_sc_med_exclusions | us-medsc-715d1a7105885c5bb8d02ec0a7fa9213502d33ef | |||
Person:npiCode | 1497831192 | ext_us_cms_npi | us-npi-1497831192 | ||||
LegalEntity:sector | Ind-Lic HC Serv Prov - Nurse Practitioner | eng | us_sc_med_exclusions | us-medsc-715d1a7105885c5bb8d02ec0a7fa9213502d33ef | |||
Person:title | MR. | ext_us_cms_npi | us-npi-1497831192 | ||||
LegalEntity:topics | debarment | us_sc_med_exclusions | us-medsc-715d1a7105885c5bb8d02ec0a7fa9213502d33ef | ||||