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NICOLE SLOAN
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1669992657
Individual Registrant: NICOLE SLOAN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
240 OLD STATE ROUTE 50 SYLVESTER, GA 31791 US
Tel: (22-9) -289-2163 Fax: --
Tel: (22-9) -289-2163 Fax: --
Contact information for business:
240 OLD STATE ROUTE 50 SYLVESTER, GA 31791-3401 US
Tel: 229-289-2163 Fax: --
Tel: 229-289-2163 Fax: --
Registration Information:
NPI: 1669992657
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | GA | 008550 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
