Person

Ellingson, Tracy A.

Debarred entity

United States. Named in 2 sanctions listings.

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Sanctions and listings2

  • Effective
    17 Aug 2022

    Official designation

    South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause

    scdhhs.gov

  • Effective
    13 May 2022

    Official designation

    NC Medicaid Division of Health BenefitsUS North Carolina Excluded Providers ListUnited States

    STATE

    medicaid.ncdhhs.gov

Connections1

Other links1

  • Linked record unavailable
    Linked from
    "OWNERSHIP"

Identifiers1

IdentifierNumber
NPI number1013957331

Other names1

Also known as1

TRACY A. ELLINGSON

Addresses2

  • Charlotte, NC 28204

  • MOORESVILLE, NC 28117

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