Individual
KATHLEEN SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 TOWN CREEK RD, AIKEN, SC 29803-5843
(803) 508-7651
(803) 508-7655
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN149527
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307287070A
—
GA
05
—
NP0968
—
SC
Enumeration date
08/31/2006
Last updated
09/14/2023
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