Healthcare Provider Details

I. General information

NPI: 1235188764
Provider Name (Legal Business Name): DONALD F SLAPPEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601B MEDICAL CENTER PKWY
BOAZ AL
35957-5937
US

IV. Provider business mailing address

PO BOX 646
BOAZ AL
35957
US

V. Phone/Fax

Practice location:
  • Phone: 256-593-9070
  • Fax: 256-593-9071
Mailing address:
  • Phone: 256-593-9070
  • Fax: 256-593-9071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4222
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: