Christopher Lee Slack in Fort Pierce - Facial Plastic Surgery
Christopher Lee Slack - NPI 1982613717
Christopher Lee Slack is a Facial Plastic Surgery in Fort Pierce, Florida. Christopher Lee Slack practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Christopher Lee Slack is 1982613717. The last update date is 2010-07-09.
Christopher Lee Slack's current location address is 4632 S 25th St, Fort Pierce, Florida. You can contact this provider via phone number 7724649595 and fax number 7724649582. The mailing address for Christopher Lee Slack is 4632 S 25th St, Fort Pierce, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Lee Slack |
|---|---|
| Address | 4632 S 25th St, Fort Pierce, Florida |
| Phone Number | 7724649595 |
| Fax Number | 7724649582 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982613717 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2010-07-09 |
Provider Mailing Address Detail
| Address | 4632 S 25th St |
|---|---|
| City | Fort Pierce |
| State | Florida (FL) |
| Post Code | 349815057 |
| Phone Number | 7724649595 |
| Fax Number | 7724649582 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | ME84369 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264157700 | FL | -- |
Post Comment/ Review Below
What is the Christopher Lee Slack's unique identification number?
The Christopher Lee Slack has been assigned the NPI (National Provider Identifier) Number 1982613717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Christopher Lee Slack's facilities are situated?
The facilities of Christopher Lee Slack are physically located at the following address: 4632 S 25Th St, Fort Pierce, FL, 349815057.
What is the Christopher Lee Slack's area of specialization and corresponding taxonomy classification?
The Christopher Lee Slack's specialty field is Facial Plastic Surgery, and it falls under the taxonomy code 207Ys0123X, which categorizes healthcare providers based on their specialties.
When did the Christopher Lee Slack receive its 1982613717?
The Christopher Lee Slack was issued its 1982613717 on 2006-08-08, which is the date when the organization was assigned this unique identifier.
When was the information regarding Christopher Lee Slack, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Christopher Lee Slack, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-09.