Person

Charles Ryan Jr.

Debarred entity

United States. Named in 1 sanctions listing.

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Sanctions and listings1

  • Effective
    20 Nov 2025

    Official designation

    Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States

    Licensing Problems

    medicaid.ms.gov

Identifiers1

IdentifierNumber
NPI number1548263627

Addresses2

  • Suite 101

  • 6819 Crumpler Blvd.

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