Canonical ID: us-medsc-a56c68553920d05f9b51787a0fd06a7a81d4f4f6 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Fayetteville, GA 30214 | eng | us_sc_med_exclusions | us-medsc-a56c68553920d05f9b51787a0fd06a7a81d4f4f6 | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-a56c68553920d05f9b51787a0fd06a7a81d4f4f6 | |||
LegalEntity:id | daccc636272dca7262fc0a0a099c5371243d35cc | eng | us_sc_med_exclusions | us-medsc-a56c68553920d05f9b51787a0fd06a7a81d4f4f6 | |||
LegalEntity:name | White, Kelvin D. | eng | us_sc_med_exclusions | us-medsc-a56c68553920d05f9b51787a0fd06a7a81d4f4f6 | |||
LegalEntity:npiCode | 1457336935 | eng | us_sc_med_exclusions | us-medsc-a56c68553920d05f9b51787a0fd06a7a81d4f4f6 | |||
LegalEntity:sector | Physician (MD, DO) - Family Practice | eng | us_sc_med_exclusions | us-medsc-a56c68553920d05f9b51787a0fd06a7a81d4f4f6 | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-a56c68553920d05f9b51787a0fd06a7a81d4f4f6 | |||