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NPI Code Detail

MEDICARE: JOSEPH C. SLAUGHTER MD

MEDICARE: JOSEPH C. SLAUGHTER 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
1207R00000XInternal Medicine Physician18448KY

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 : 1538162458
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH C. SLAUGHTER MD
Provider Business Mailing Address
First Line : 1111 MEDICAL CENTER CIR
Second Line :
City : MAYFIELD
State : KY
Zip : 42066-1194
Country : US
Telephone Number : 270-247-8100
Fax Number : 270-247-7780
Provider Business Practice Location Address
First Line : 1111 MEDICAL CENTER CIR
Second Line :
City : MAYFIELD
State : KY
Zip : 42066-1194
Country : US
Telephone Number : 270-247-8100
Fax Number : 270-247-7780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 09/24/2008

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