Canonical ID: us-medsc-2b11a0cd0fc963b37d380bafe63aa154e13491aa
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | Blacksburg, SC 29702 | eng | us_sc_med_exclusions | us-medsc-2b11a0cd0fc963b37d380bafe63aa154e13491aa | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-2b11a0cd0fc963b37d380bafe63aa154e13491aa | |||
LegalEntity:id | 75e01b6a57ec0fdd34888e8303703a63471653c0 | eng | us_sc_med_exclusions | us-medsc-2b11a0cd0fc963b37d380bafe63aa154e13491aa | |||
LegalEntity:name | Martin, Stacy | eng | us_sc_med_exclusions | us-medsc-2b11a0cd0fc963b37d380bafe63aa154e13491aa | |||
LegalEntity:npiCode | 1992763569 | eng | us_sc_med_exclusions | us-medsc-2b11a0cd0fc963b37d380bafe63aa154e13491aa | |||
LegalEntity:sector | Ind-Lic HC Serv Prov - Nurse Practitioner | eng | us_sc_med_exclusions | us-medsc-2b11a0cd0fc963b37d380bafe63aa154e13491aa | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-2b11a0cd0fc963b37d380bafe63aa154e13491aa |