Canonical ID: us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Union, SC 29380 | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
LegalEntity:id | ec6bc320d3e6f74ec13e4736cda36aba840f000b | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
LegalEntity:name | Fowler, Jimmy Dean | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
LegalEntity:npiCode | 1871572495 | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
LegalEntity:sector | Medical Practice, MD - General Practice | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-a79c8f09dddf277c7a391317e118cb163ca178f7 | |||