Individual
DR. JAMES W SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12255 FAIR LAKES PARKWAY, FAIRFAX, VA 22033-3952
(703) 934-5820
(703) 934-5290
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101229044
VA
207W00000X
Ophthalmology Physician
D0054382
MD
207W00000X
Ophthalmology Physician
MD15560
DC
Other
Enumeration date
11/28/2006
Last updated
06/22/2021
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