Canonical ID: us-medsc-dae596c5378c1c8f170f5fd8624433d31c2b782b · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Myrtle Beach, SC 29577 | eng | us_sc_med_exclusions | us-medsc-dae596c5378c1c8f170f5fd8624433d31c2b782b | |||
LegalEntity:country | us | eng | us_sc_med_exclusions | us-medsc-dae596c5378c1c8f170f5fd8624433d31c2b782b | |||
LegalEntity:id | 4c9331d8635cc8b55dc6964eee92b9bb4349045b | eng | us_sc_med_exclusions | us-medsc-dae596c5378c1c8f170f5fd8624433d31c2b782b | |||
LegalEntity:name | Todd, Melissa Tyler | eng | us_sc_med_exclusions | us-medsc-dae596c5378c1c8f170f5fd8624433d31c2b782b | |||
LegalEntity:npiCode | 1649328311 | eng | us_sc_med_exclusions | us-medsc-dae596c5378c1c8f170f5fd8624433d31c2b782b | |||
LegalEntity:sector | Ind-Lic HC Serv Prov - Licensed Professional Counselor | eng | us_sc_med_exclusions | us-medsc-dae596c5378c1c8f170f5fd8624433d31c2b782b | |||
LegalEntity:topics | debarment | eng | us_sc_med_exclusions | us-medsc-dae596c5378c1c8f170f5fd8624433d31c2b782b | |||