Canonical ID: NK-WnvgSMf7iSBTCf4G5BmWTx · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 1175 COOK RD, SUITE 305, ORANGEBURG, SC 291188201 | ext_us_cms_npi | us-npi-1669654448 | ||||
Person:addressEntity | addr-095c6c5907625b9ac614a70f756e22e10b293a5f | ext_us_cms_npi | us-npi-1669654448 | ||||
Person:country | us | ext_us_cms_npi | us-npi-1669654448 | ||||
Person:firstName | JEROME | ext_us_cms_npi | us-npi-1669654448 | ||||
Person:id | 2345c6ff2e3fc4b946a0b8224c6a5f7a2d9c6993 | ext_us_cms_npi | us-npi-1669654448 | ||||
Person:lastName | DEGEN | ext_us_cms_npi | us-npi-1669654448 | ||||
Person:middleName | B | ext_us_cms_npi | us-npi-1669654448 | ||||
Person:name | JEROME B DEGEN | ext_us_cms_npi | us-npi-1669654448 | ||||
Person:npiCode | 1669654448 | ext_us_cms_npi | us-npi-1669654448 | ||||