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Individual

DR. VERSIE LEE SLAY

Active
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Individual

DR. VERSIE LEE SLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039238
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061407
BC/BS OF GA GROUP #
GA
05
—
30621981G
—
GA
05
—
30621981H
—
GA
05
—
30621981I
—
GA
05
—
30621981J
—
GA
05
—
30621981K
—
GA
05
—
30621981L
—
GA
Enumeration date
03/12/2007
Last updated
03/31/2008
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