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
Address 1279 Highway 54 West, Fayetteville, Georgia
Phone Number 7709912200
Fax Number 7709911341
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154332542
Provider Enumeration Date 2006-08-10
Last Updated Date 2011-10-22

Provider Mailing Address Detail

Address 1279 Highway 54 West
City Fayetteville
State Georgia (GA)
Post Code 302144552
Phone Number 7709912200
Fax Number 7709911341

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
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
671094050A GA --

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FAQs about Crystal O Slade

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.

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