Type not stated
Screen this subjectGREATER CAROLINA EAR NOSE AND THROAT
Debarred entityUnited States. Named in 2 sanctions listings.
Sanctions and listings2
- Effective
- 25 Apr 2023
Official designation
NC Medicaid Division of Health BenefitsUS North Carolina Excluded Providers ListUnited States
STATE
- Effective
- 19 Sep 2024
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
Connections1
Other links1
- ANITA LOUISE JACKSONDebarredLinked from"OWNERSHIP"Born 24 Apr 1961United States
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1821179037 |
Other names1
Also known as1
Greater Carolina Ear Nose & Throat PA
Addresses1
Lumberton, NC 28358
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