Venezela Thomas Slade-hartman M.D.

NPI 1083690036 - Family Medicine - 207Q00000X

NPI Details
NPI 1083690036
Gender Female
Enumeration Date 12/21/2005
Last Updated 10/03/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4692 BROWNSBORO RD
WINSTON SALEM NC, 27106-3410, US
Phone (336) 251-1114
Fax (336) 251-1116
Business Location
4692 BROWNSBORO ROAD
WINSTON-SALEM NC, 27106, US
Phone (336) 251-1114
Fax (336) 251-1116
Toxanomy
Taxonomy Code 207Q00000X
License State North Carolina
License Number 200201189
Remove 1083690036 NPI Number
 

According to our database, Dr. Venezela Thomas Slade-hartman M.D. NPI is 1083690036, taxonomy code is 207Q00000X and license number is 200201189, license state is located at North Carolina. Venezela Thomas Slade-hartman M.D. physically located at 4692 Brownsboro Rd, Winston Salem NC, 27106-3410. NPI Number Venezela Thomas Slade-hartman M.D. has the Individual type.

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1083690036 NPI number is provided on an as is basis without warranty of any kind. 1083690036 is maintained by the National Plan & Provider Enumeration System. The contents of Venezela Thomas Slade-hartman M.D. are for informational purposes only.