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NICOLE SLOAN

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1669992657

Individual Registrant:
 NICOLE  SLOAN 
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: --

Contact information for business:
240 OLD STATE ROUTE 50  SYLVESTER, GA 31791-3401 US
Tel: 229-289-2163  Fax: --

Registration Information:
NPI: 1669992657
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
GA008550

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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