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NPI Code Detail

MEDICARE: CHARLOTTE L SLOAN NP

MEDICARE:   CHARLOTTE L SLOAN  NP
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
1363L00000XNurse Practitioner553SC

Other Identifiers

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

General Provider Information

NPI Number : 1023006863
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLOTTE L SLOAN NP
Provider Business Mailing Address
First Line : 111 DOCTOR CIR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6502
Country : US
Telephone Number : 800-491-0909
Fax Number :
Provider Business Practice Location Address
First Line : 111 DOCTOR CIR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6502
Country : US
Telephone Number : 800-491-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 11/09/2022

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Directions to “ CHARLOTTE L SLOAN NP” Practice Location

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