Canonical ID: us-medsc-1f679522e8afb115c623ccceb60ffa57224da57d
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | Myrtle Beach, SC 29572 | eng | us_sc_med_exclusions | us-medsc-1f679522e8afb115c623ccceb60ffa57224da57d | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-1f679522e8afb115c623ccceb60ffa57224da57d | |||
LegalEntity:id | 2e2d327eb6a2580ebbeccc31ca56a3b7d6404cbc | eng | us_sc_med_exclusions | us-medsc-1f679522e8afb115c623ccceb60ffa57224da57d | |||
LegalEntity:name | Gore, Mona L. | eng | us_sc_med_exclusions | us-medsc-1f679522e8afb115c623ccceb60ffa57224da57d | |||
LegalEntity:npiCode | 1306810676 | eng | us_sc_med_exclusions | us-medsc-1f679522e8afb115c623ccceb60ffa57224da57d | |||
LegalEntity:sector | Ind-Lic HC Serv Prov - Nurse Anesthetist | eng | us_sc_med_exclusions | us-medsc-1f679522e8afb115c623ccceb60ffa57224da57d | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-1f679522e8afb115c623ccceb60ffa57224da57d |