Individual
DR. JOHN JAMES SLATOSKY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
604 W ACADEMY ST, RANDLEMAN, NC 27317
(336) 498-1200
(336) 498-1207
Mailing address
604 W ACADEMY ST, RANDLEMAN, NC 27317
(336) 498-1200
(336) 498-1207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9900682
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108086
UHC
NC
01
—
1212U
BCBS
NC
01
—
127074
FOCUS
NC
01
—
202600853
CIGNA
NC
01
—
2152142
FIRST HEALTH/CCN
NC
01
—
2348546
MEDICARE
NC
05
—
5901190
—
NC
01
—
7031061
AETNA
NC
01
—
E2071
MEDCOST
NC
Enumeration date
02/07/2006
Last updated
11/30/2012
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