MEDICARE: DR. ROSALYN L.R. SLAUGHTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	019151	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669565933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALYN L.R. SLAUGHTER MD

Provider Business Mailing Address
First Line	:	7750 GREENWELL SPRINGS RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70814-2003
Country	:	US
Telephone Number	:	225-928-9550
Fax Number	:	225-925-3279

Provider Business Practice Location Address
First Line	:	7750 GREENWELL SPRINGS RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70814-2003
Country	:	US
Telephone Number	:	225-928-9550
Fax Number	:	225-925-3279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2006
Last Update Date	:	07/08/2007

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