Individual
SARAH CLEGG SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-AGNP
Contact information
Practice address
912 3RD ST # 101, GREENSBORO, NC 27405-6967
(336) 273-2511
Mailing address
1002 HEDGE LN, COLFAX, NC 27235-9770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012258
NC
Other
Enumeration date
09/17/2019
Last updated
09/20/2021
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