Individual
MISTY D SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
482 INTERSTATE DR, MANCHESTER, TN 37355-3485
(931) 728-4718
(931) 728-1016
Mailing address
482 INTERSTATE DR, MANCHESTER, TN 37355-3485
(931) 728-4718
(931) 728-1016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01065155A
IN
207Q00000X
Family Medicine Physician
35
OH
207Q00000X
Family Medicine Physician
Primary
53750
TN
207Q00000X
Family Medicine Physician
MD.38961
AL
Other
Enumeration date
05/14/2008
Last updated
09/02/2025
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