Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 12825 | AL |
NPI | 1003835612 |
---|---|
Provider Name | Robert D Slaughter |
First Address | Tuscaloosa, AL 35401-7419 |
Second Address | Tuscaloosa, AL 35401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 25/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000005851 | (05) | AL |
000005851 | BLUE CROSS (01) | AL |
000013437 | HEALTHSPRING OF ALABAMA (01) | AL |
000013438 | HEALTHSPRING OF ALABAMA (01) | AL |
000036861 | (05) | AL |
000036861 | BLUE CROSS (01) | AL |
051504057 | BLUE CROSS (01) | AL |
124901 | MISSISSIPPI MEDICAID (01) | MS |
C70405 | VIVA (01) | AL |