Crystal O Slade in Fayetteville - Obstetrics & Gynecology
Crystal O Slade - NPI 1154332542
Crystal O Slade is a Obstetrics & Gynecology in Fayetteville, Georgia. Crystal O Slade practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Crystal O Slade is 1154332542. The last update date is 2011-10-22.
Crystal O Slade's current location address is 1279 Highway 54 West, Fayetteville, Georgia. You can contact this provider via phone number 7709912200 and fax number 7709911341. The mailing address for Crystal O Slade is 1279 Highway 54 West, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Crystal O Slade |
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Address | 1279 Highway 54 West, Fayetteville, Georgia |
Phone Number | 7709912200 |
Fax Number | 7709911341 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1154332542 |
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Provider Enumeration Date | 2006-08-10 |
Last Updated Date | 2011-10-22 |
Provider Mailing Address Detail
Address | 1279 Highway 54 West |
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City | Fayetteville |
State | Georgia (GA) |
Post Code | 302144552 |
Phone Number | 7709912200 |
Fax Number | 7709911341 |
Provider's Primary Taxonomy Detail
Speciality | Obstetrics & Gynecology |
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Taxonomy | 207V00000X |
Licence No | 53881 |
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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671094050A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Crystal O Slade by the Centers for Medicare & Medicaid Services?
The Crystal O Slade has been issued the NPI (National Provider Identifier) 1154332542. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Crystal O Slade is physically located?
The Crystal O Slade is physically situated at the following address: 1279 Highway 54 West, Fayetteville, GA, 302144552.
What is Crystal O Slade's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crystal O Slade is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154332542 to Crystal O Slade?
The Centers for Medicare & Medicaid Services assigned the 1154332542 to Crystal O Slade on 2006-08-10.
As of what date were the Crystal O Slade's details last updated?
The information pertaining to the Crystal O Slade, including its address, specialty, and other details, was most recently updated on 2011-10-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY