Statements: Davis, Georgianna

Canonical ID: us-mednd-5c03ae9682555e5e06307feb1f708d0128d42740 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:countryusengus_nd_med_exclusionsus-mednd-5c03ae9682555e5e06307feb1f708d0128d42740
LegalEntity:descriptionMedicaid Provider ID: 1493957engus_nd_med_exclusionsus-mednd-5c03ae9682555e5e06307feb1f708d0128d42740
LegalEntity:idafdf0fa10951c0cacc7fac741b74bd22588c99faengus_nd_med_exclusionsus-mednd-5c03ae9682555e5e06307feb1f708d0128d42740
LegalEntity:nameDavis, Georgiannaengus_nd_med_exclusionsus-mednd-5c03ae9682555e5e06307feb1f708d0128d42740
LegalEntity:npiCode1437720596engus_nd_med_exclusionsus-mednd-5c03ae9682555e5e06307feb1f708d0128d42740
LegalEntity:sectorQualified Service Providerengus_nd_med_exclusionsus-mednd-5c03ae9682555e5e06307feb1f708d0128d42740
LegalEntity:topicsdebarmentengus_nd_med_exclusionsus-mednd-5c03ae9682555e5e06307feb1f708d0128d42740
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