Angela Slade

NPI #1194221663 in Atlanta, Georgia

Provider Information

NPI Number: 1194221663
Entity Type: Individual
Name: Angela Slade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Enumeration Date: Apr 3, 2018
Last Updated: Apr 3, 2018

Practice Location

Address: 3645 PEACHTREE RD NE APT 302
City: Atlanta
State: Georgia
ZIP Code: 30319-1275
Phone: (404) 734-3688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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