Slade, Lance E
Slade, Lance E is an individual health care provider with primary practice located at 550 Professional Dr , Macon GA 31201-1411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Slade, Lance E can be contacted via phone (478) 741-3007.Contact Information
Primary practice address
550 Professional Dr
Macon GA 31201-1411
Phone: (478) 741-3007
Fax: (478) 330-6288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 52488 | Georgia |
Profile Details
| NPI number | 1699858514 |
|---|---|
| LBN Legal business name | Slade, Lance E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Dec 29th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699858514 | NPPES |
| Georgia | MEDICAID | 318185311A |
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