Person

Charles N Crenshaw III

Debarred entity

United States. Named in 1 sanctions listing.

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Sanctions and listings1

  • Effective
    21 Jan 2021

    Official designation

    Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States

    Licensing Problems

    medicaid.ms.gov

Identifiers1

IdentifierNumber
NPI number1942210497

Addresses2

  • Suite E1

  • 1679 Old Fannin Road

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