Jay Ryan Slattery M.D.

NPI 1699936468 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1699936468
Gender Male
Enumeration Date 06/24/2008
Last Updated 01/29/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
501 BILLINGSLEY RD
CHARLOTTE NC, 28211-1009, US
Phone (704) 358-2700
Fax (704) 358-2716
Business Location
PO BOX 601372
CHARLOTTE NC, 28260-1372, US
Phone (704) 358-2700
Fax (704) 358-2716
Toxanomy
Taxonomy Code 390200000X
License State North Carolina
License Number 148967
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According to our database, Dr. Jay Ryan Slattery M.D. NPI is 1699936468, taxonomy code is 390200000X and license number is 148967, license state is located at North Carolina. Jay Ryan Slattery M.D. physically located at 501 Billingsley Rd, Charlotte NC, 28211-1009. NPI Number Jay Ryan Slattery M.D. has the Individual type.

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1699936468 NPI number is provided on an as is basis without warranty of any kind. 1699936468 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Ryan Slattery M.D. are for informational purposes only.