NPI 1154332542

Crystal O Slade, MD

Practitioner Obstetrics & Gynecology Physician Fayetteville, GA

Practice location

Address: 1279 Highway 54 W Suite 220, Fayetteville, GA 30214-4552
Phone: (770) 991-2200
Fax: (770) 991-1341
Mailing address: 1279 Highway 54 West Suite 220, Fayetteville, GA 30214-4552

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 053881 (GA)

Other Obstetrics & Gynecology providers in Georgia →

Registry record

NPI: 1154332542
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2006
Record last updated: 22 Oct 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.