Individual
THOMAS BENJAMIN SLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
2620 PERKINS CREEK DR, PADUCAH, KY 42001-7494
(270) 444-8465
(270) 443-7734
Mailing address
2620 PERKINS CREEK DR, PADUCAH, KY 42001-7494
(270) 444-8465
(270) 443-7734
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
041454540
IL
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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