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Individual

JOHN T SLOCUMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
682 HEMLOCK ST, SUITE 300, MACON, GA 31201-8310
(478) 744-9683
(478) 744-9824
Mailing address
682 HEMLOCK ST, SUITE 300, MACON, GA 31201-8310
(478) 744-9683
(478) 744-9824

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
030672
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000374525D
GA
Enumeration date
07/27/2006
Last updated
05/29/2014
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