MEDICARE: ALLEN L SLOAN 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	14285	SC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235108853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN L SLOAN MD

Provider Business Mailing Address
First Line	:	1168 W MARTINTOWN RD
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-2046
Country	:	US
Telephone Number	:	803-202-0053
Fax Number	:	803-202-0018

Provider Business Practice Location Address
First Line	:	1168 W MARTINTOWN RD
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-2046
Country	:	US
Telephone Number	:	803-202-0053
Fax Number	:	803-202-0018

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	10/23/2012

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