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Organization

MISTY DAWN SLATER PLLC

Active
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Organization

MISTY DAWN SLATER PLLC

Active
Other names
Misty Slater MD
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN CASEY (OFFICE MANAGER)
(931) 227-4984
Entity
Organization

Contact information

Practice address
2330 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3672
(931) 227-4984
Mailing address
PO BOX 38, FAYETTEVILLE, TN 37334-0038

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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