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Individual

TREVOR LEE SLONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(645) 607-0258
(864) 560-7388
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39064
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390641
SC
01
SC78118510
MEDICARE PIN
SC
01
SC78119068
MEDICARE PIN
SC
Enumeration date
06/03/2009
Last updated
01/08/2024
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