Individual
DR. C CORNELIOUS SLATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3459 ACWORTH DUE WEST RD NW, SUITE 305, ACWORTH, GA 30101-5819
(770) 975-0175
(770) 975-7294
Mailing address
3459 ACWORTH DUE WEST RD NW, SUITE 305, ACWORTH, GA 30101-5819
(770) 975-0175
(770) 975-7294
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN010609
GA
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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