Canonical ID: us-medsc-4b71764cb1548bf8b269c273a71d56bb83cd1136 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Charleston, SC 29425 | eng | us_sc_med_exclusions | us-medsc-4b71764cb1548bf8b269c273a71d56bb83cd1136 | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-4b71764cb1548bf8b269c273a71d56bb83cd1136 | |||
LegalEntity:id | e14a22e87ce9bbd14f0bbe04441e32c2315e6876 | eng | us_sc_med_exclusions | us-medsc-4b71764cb1548bf8b269c273a71d56bb83cd1136 | |||
LegalEntity:name | Lane, Jordan Leigh | eng | us_sc_med_exclusions | us-medsc-4b71764cb1548bf8b269c273a71d56bb83cd1136 | |||
LegalEntity:npiCode | 1619224003 | eng | us_sc_med_exclusions | us-medsc-4b71764cb1548bf8b269c273a71d56bb83cd1136 | |||
LegalEntity:sector | Ind-Lic Serv Prov - Physician Assistant | eng | us_sc_med_exclusions | us-medsc-4b71764cb1548bf8b269c273a71d56bb83cd1136 | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-4b71764cb1548bf8b269c273a71d56bb83cd1136 | |||