ANDRES ALFONSO — OIG Excluded Provider (FOLKSTON, GA, 1128a1)
ANDRES ALFONSO — OIG Excluded Provider (FOLKSTON, GA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ANDRES ALFONSO; Type: Individual; Provider category: BUS OWNER/EXEC.
| Name | ANDRES ALFONSO |
|---|---|
| Type | Individual |
| Provider category | BUS OWNER/EXEC |
| Specialty | PHARMACY |
| City | FOLKSTON |
| State | GA |
| ZIP | 31537 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2017-10-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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