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Individual

DR. G ANTHONY SLAGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 YORKTOWN DR, FAYETTEVILLE, GA 30214-1568
(770) 464-8428
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
030893
GA

Other

Enumeration date
01/11/2007
Last updated
02/17/2011
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