Individual
NICOLE SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 OLD STATE ROUTE 50, SYLVESTER, GA 31791
(229) 289-2163
Mailing address
240 OLD STATE ROUTE 50, SYLVESTER, GA 31791-3401
(229) 289-2163
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008550
GA
363A00000X
Physician Assistant
4362
SC
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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