Person

Timothy E Whittle

Debarred entity

Born 4 Dec 1960 (65 years old),United States. Named in 1 sanctions listing.

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Sanctions and listings1

  • Effective
    30 Jun 2020

    Official designation

    Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States

    Licensing Problems

    medicaid.ms.gov

Identifiers1

IdentifierNumber
NPI number1588621064

Addresses1

  • 116 Medical Center Drive

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