Individual
DOUGLAS KENNETH SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0235
(252) 937-3103
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33425
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110124024
RAILROARD MEDICARE
NC
01
—
6930356
CIGNA HEALTHCARE
NC
01
—
69724
MEDCOST
ND
01
—
7679V
BCBSNC
NC
05
—
897679V
—
NC
Enumeration date
09/08/2005
Last updated
03/26/2026
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