Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 134042 | NC |
NPI | 1285827451 |
---|---|
Provider Name | Dr. Van Slaughter |
First Address | Pinehurst, NC 28374-8710 |
Second Address | Pinehurst, NC 28374-8710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 05/02/2020 |