Individual
DR. RUSSELL LEE SLIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 TOWNE CENTER BLVD STE 701, POOLER, GA 31322-4063
(912) 748-2280
(912) 748-4988
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 748-2280
(912) 748-4988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046250
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000880085D
—
GA
05
—
000880085E
—
GA
05
—
G46250
—
SC
Enumeration date
12/23/2005
Last updated
05/31/2011
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