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NPI Code Detail

MEDICARE: JEAN ELIZABETH SLAYDEN MD

MEDICARE: JEAN ELIZABETH SLAYDEN 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
12084P0800XPsychiatry Physician44842GA
22084P0800XPsychiatry Physician044842GA

General Provider Information

NPI Number : 1477616837
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN ELIZABETH SLAYDEN MD
Provider Business Mailing Address
First Line : 5887 GLENRIDGE DR STE 230
Second Line :
City : ATLANTA
State : GA
Zip : 30328-9929
Country : US
Telephone Number : 678-915-2882
Fax Number : 770-284-3209
Provider Business Practice Location Address
First Line : 5887 GLENRIDGE DR STE 230
Second Line :
City : ATLANTA
State : GA
Zip : 30328-9929
Country : US
Telephone Number : 678-915-2882
Fax Number : 770-284-3209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/16/2025

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Directions to “ JEAN ELIZABETH SLAYDEN MD” Practice Location

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