WALLACE STEVEN ANDERSON — OIG Excluded Provider (JESUP, GA, 1128a4)
WALLACE STEVEN ANDERSON — OIG Excluded Provider (JESUP, GA, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: WALLACE STEVEN ANDERSON; Type: Individual; Provider category: PHYSICIAN (MD, DO).
| Name | WALLACE STEVEN ANDERSON |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN (MD, DO) |
| Specialty | INTERNAL MEDICINE |
| NPI | 1881622314 |
| City | JESUP |
| State | GA |
| ZIP | 31599 |
| Exclusion authority | 1128a4 |
| Exclusion reason | Felony conviction relating to controlled substances |
| Exclusion date | 2023-11-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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