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Contact Information

NICOLE SLOAN
240 OLD STATE ROUTE 50
SYLVESTER, GA31791
 Phone: 229-289-2163
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE SLOAN · (Female)

NPI # 1669992657
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 008550
  • SC License # 4362
Hospital affiliation(s)
  • SAINT JOSEPH'S HOSPITAL OF ATLANTA INC - (Acute Care)
    5665 PEACHTREE DUNWOODY ROAD
    ATLANTA, GA 30342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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