1 SapherCheck records found for Person Sanford, benjamin
1. Sanford, Benjamin
| Sector |
PHYSICIAN
|
|---|---|
| Profile Type | PERSON |
| Name |
SANFORD, BENJAMIN
|
| Country |
UNITED STATES
|
| Birth Date |
1951-07-17
|
| First Seen | 2024-09-04 |
| Last Seen | 2024-10-25 |
| Last Change | 2024-09-04 |
| Npi Code |
1629042304
|
| Datasets |
US MISSISSIPPI MEDICAID TERMINATED PROVIDER LIST
|
| Address |
107 BRANDON ROAD STARKVILLE, MS 39759
|
| Topics |
DEBARRED ENTITY
|
1 Sanctions
1. Sanction Caption: Sanction| Sanction Caption | Sanction |
|---|---|
| Sanction Datasets |
US Mississippi Medicaid Terminated Provider List |
| Sanction First Seen | 2024-09-04 |
| Sanction Last Change | 2024-09-04 |
| Sanction Last Seen | 2024-10-25 |
| Sanction Properties |
Authority:
Mississippi Division of Medicaid Start Date: 2021-05-19 Country: United States Entity: us-medms-6fabdb6fb636cdbd35b7316e58b90e7790d18deb Reason: Surrender of Medical License Source URL: https://medicaid.ms.gov/providers/provider-terminations/ |