Individual
CHARLES A SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1336 HIGHWAY 54 W BLDG 500, FAYETTEVILLE, GA 30214-4574
(770) 461-1238
Mailing address
1336 HIGHWAY 54 W BLDG 500, FAYETTEVILLE, GA 30214-4574
(770) 461-1238
(770) 460-6610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
105354
GA
Other
Enumeration date
04/17/2019
Last updated
09/11/2025
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