MARCELINO AVILA — OIG Excluded Provider (MCRAE, GA, 1128a1)
MARCELINO AVILA — OIG Excluded Provider (MCRAE, GA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARCELINO AVILA; Type: Individual; Provider category: PHARMACY.
| Name | MARCELINO AVILA |
|---|---|
| Type | Individual |
| Provider category | PHARMACY |
| Specialty | OWNER/OPERATOR |
| City | MCRAE |
| State | GA |
| ZIP | 31055 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2010-08-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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