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Individual

MRS. MEGAN R SLOCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(571) 472-4724
(571) 472-0241
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
085003616
IL
363A00000X
Physician Assistant
Primary
0110008200
VA
363A00000X
Physician Assistant
PA031506
DC
363AM0700X
Medical Physician Assistant

Other

Enumeration date
11/10/2009
Last updated
12/22/2021
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