Individual
DR. NATHANIEL ALLEN SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 PENNY LN, CONCORD, NC 28025-1221
(704) 784-5901
Mailing address
335 PENNY LN, CONCORD, NC 28025-1221
(704) 784-5901
(704) 721-0413
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2020-00395
NC
207ND0900X
Dermatopathology Physician
2020-00395
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/28/2015
Last updated
08/04/2020
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