Healthcare Provider Details

I. General information

NPI: 1669078226
Provider Name (Legal Business Name): SLONE HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 HIOAKS RD STE A
RICHMOND VA
23225-4038
US

IV. Provider business mailing address

PO BOX 745854
ATLANTA GA
30374-5854
US

V. Phone/Fax

Practice location:
  • Phone: 804-565-9551
  • Fax: 804-565-9552
Mailing address:
  • Phone: 410-970-8190
  • Fax: 410-313-8024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: TODD SIGMON
Title or Position: INTERIM, CCO
Credential:
Phone: 410-970-8190