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Debarred entity

United States. Named in 1 sanctions listing.

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Sanctions and listings1

  • Effective
    20 Oct 2020

    Official designation

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

    STATE

    medicaid.ncdhhs.gov

Connections1

Other links1

Identifiers1

IdentifierNumber
NPI number1669825220

Addresses1

  • MONROE, NC 28110

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