Canonical ID: us-medsc-99efd0fcc13bb8b5438f61eb887f4162c64c645a · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Surfside Beach, SC 29575 | eng | us_sc_med_exclusions | us-medsc-99efd0fcc13bb8b5438f61eb887f4162c64c645a | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-99efd0fcc13bb8b5438f61eb887f4162c64c645a | |||
LegalEntity:id | 6f32f7fedabee12d078791acbb47fc7c01a9239a | eng | us_sc_med_exclusions | us-medsc-99efd0fcc13bb8b5438f61eb887f4162c64c645a | |||
LegalEntity:name | Lummus, Tracy Dallas | eng | us_sc_med_exclusions | us-medsc-99efd0fcc13bb8b5438f61eb887f4162c64c645a | |||
LegalEntity:npiCode | 1275712150 | eng | us_sc_med_exclusions | us-medsc-99efd0fcc13bb8b5438f61eb887f4162c64c645a | |||
LegalEntity:sector | Ind-Lic HC Serv Prov - Chiropractic | eng | us_sc_med_exclusions | us-medsc-99efd0fcc13bb8b5438f61eb887f4162c64c645a | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-99efd0fcc13bb8b5438f61eb887f4162c64c645a | |||