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GARY H BALLARD — OIG Excluded Provider (SODDY DAISY, TN, 1128b4)

GARY H BALLARD — OIG Excluded Provider (SODDY DAISY, TN, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: GARY H BALLARD; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameGARY H BALLARD
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CitySODDY DAISY
StateTN
ZIP37379
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2016-06-20
SourceHHS-OIG LEIE

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