| Daniel A Slonaker Md Pc | |
|
1001 North Main Avenue Erwin TN 37650-0499 | |
| (423) 743-9176 | |
| (423) 743-0860 |
| Full Name | Daniel A Slonaker Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 North Main Avenue, Erwin, Tennessee |
| Authorized Official Name and Position | Daniel A Slonaker (DIRECT OWNER) |
| Authorized Official Contact | 4237439176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A Slonaker Md Pc Po Box 499 1001 North Main Avenue Erwin TN 37650-0499 Ph: (423) 743-9176 | Daniel A Slonaker Md Pc 1001 North Main Avenue Erwin TN 37650-0499 Ph: (423) 743-9176 |
| NPI Number | 1881763175 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881763175 | NPI | - | NPPES |
| 3714636 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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