Individual
DR. BRANDON BLAKE SLAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 MEDICAL ARTS CT, SUITE 2, GREENVILLE, AL 36037-3871
(334) 382-1632
(334) 382-1634
Mailing address
45 MEDICAL ARTS CT, SUITE 2, GREENVILLE, AL 36037-3871
(334) 382-1632
(334) 382-1634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L3084R
AL
207Q00000X
Family Medicine Physician
Primary
MD.30550
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141369
—
AL
01
—
1871003533
GROUP NPI
—
01
—
511-27803
BCBS
AL
05
—
529906610 GROUP
—
AL
01
—
P01082168
RAILROAD MEDICARE
AL
Enumeration date
08/20/2009
Last updated
10/19/2017
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