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ANITA LOUISE JACKSON

Debarred entity
TypePerson[sources]
NameANITA LOUISE JACKSON · Jackson, Anita Louise[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
First nameANITA[sources]
Last nameJACKSON[sources]
Middle nameLOUISE[sources]
NPI1346286010[sources]
SectorPhysician[sources]
Unique Entity IDGJU5LQ2SKBT3[sources]
PositionOTORHINOLARYNGOLOGY (PHYSICIAN (MD, DO))[sources]
AddressALDERSON, WV 24910, USA · GLEN RAY ROAD BOX A, ALDERSON, WV 24910 · LUMBERTON, NC 28358 · Lumberton, NC 28358[sources]
Last changeLast processedFirst seen

Relationships

Sanctions
CountryAuthorityProgramStart dateEnd date
United States of AmericaOPMReciprocal-
United States of AmericaSouth Carolina Department of Health and Human Services--
United States of AmericaNC Medicaid Division of Health Benefits--
United States of AmericaDepartment of Health and Human Services Office of Inspector GeneralUS HHS OIG List of Excluded Individuals/Entities-

Data sources

US North Carolina Excluded Providers List263

Service providers who have been terminated for cause from North Carolina's Medicaid and other Health Programs.

United States of America · NC Medicaid Division of Health Benefits

US SAM Procurement Exclusions105,252

A database of suppliers who have been excluded from participating in US federal procurement.

United States of America · GSA

US South Carolina Excluded Providers971

Medical providers excluded from South Carolina's Medicaid program.

United States of America · SCDHHS

US Health and Human Sciences Inspector General Exclusions80,818

People and companies excluded from Federally funded health care programs

United States of America · OIG


Source data IDs: us-fed-excl-anita-louise-jackson-24910-alderson · us-mednc-e45755cf1cb39f5b2f3243dbfe928094128d2f5c · us-medsc-e8fbfa70bce232e9f53867894d75cd0a824dd351

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