Whalio Doctors

NPI 1003966094

G Anthony Slagel, MD

Practitioner Dermatology Physician Fayetteville, GA

Practice location

Address
101 Yorktown Dr, Fayetteville, GA 30214-1568
Phone
(770) 464-8428
Mailing address
PO Box 102321, Atlanta, GA 30368-2321

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 030893 (GA)

Registry record

NPI
1003966094
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jan 2007
Record last updated
17 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.