| Randall J. Slovis, M.d. P.c. | |
|
2151 Peachford Rd Atlanta GA 30338-6534 | |
| (770) 445-3200 | |
| (770) 458-1594 |
| Full Name | Randall J. Slovis, M.d. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2151 Peachford Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Randall Jay Slovis (OWNER) |
| Authorized Official Contact | 7704581594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall J. Slovis, M.d. P.c. 45 Asheworth Ct Nw Atlanta GA 30327-1532 Ph: (770) 458-1594 | Randall J. Slovis, M.d. P.c. 2151 Peachford Rd Atlanta GA 30338-6534 Ph: (770) 445-3200 |
| NPI Number | 1760592513 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0941227300 |
|---|---|
| Medicare Enrollment ID | O20051026000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760592513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 025392 (Georgia) | Primary |
| Provider Name | Randall Jay Slovis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245247188 PECOS PAC ID: 1759308117 Enrollment ID: I20111117000696 |
| Provider Name | Oscar David Dellinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770682874 PECOS PAC ID: 8022282441 Enrollment ID: I20111122000185 |
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