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Individual

DR. SHARLET SLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4 SHERIDAN SQ STE 200, KINGSPORT, TN 37660-7435
(423) 246-7931
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5143
TN
207R00000X
Internal Medicine Physician
M0277
TX
208M00000X
Hospitalist Physician
Primary
5043
TN
208M00000X
Hospitalist Physician
M0277
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185214706
TX
01
749167
MEDICARE
TX
05
Q080258
TN
Enumeration date
08/07/2006
Last updated
11/25/2024
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