Canonical ID: us-medsc-4fbd6865c5bf0829e3b0946f21748c5b1530e3a3 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Bowman, GA 30624 | eng | us_sc_med_exclusions | us-medsc-4fbd6865c5bf0829e3b0946f21748c5b1530e3a3 | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-4fbd6865c5bf0829e3b0946f21748c5b1530e3a3 | |||
LegalEntity:id | c1ffdacf5154f8e212e85a0436e86ed86c600cfa | eng | us_sc_med_exclusions | us-medsc-4fbd6865c5bf0829e3b0946f21748c5b1530e3a3 | |||
LegalEntity:name | Beeson, Tommy Charles | eng | us_sc_med_exclusions | us-medsc-4fbd6865c5bf0829e3b0946f21748c5b1530e3a3 | |||
LegalEntity:npiCode | 1063514669 | eng | us_sc_med_exclusions | us-medsc-4fbd6865c5bf0829e3b0946f21748c5b1530e3a3 | |||
LegalEntity:sector | Physician (MD, DO) - Family Practice | eng | us_sc_med_exclusions | us-medsc-4fbd6865c5bf0829e3b0946f21748c5b1530e3a3 | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-4fbd6865c5bf0829e3b0946f21748c5b1530e3a3 | |||