Pine Haven Family Medicine PA
NPI #1891960241 in Randleman, North Carolina
Provider Information
- NPI Number
- 1891960241
- Entity Type
- Organization
- Organization Name
- Pine Haven Family Medicine PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 28, 2008
- Last Updated
- Nov 30, 2012
Practice Location
- Address
- 604 WEST ACADEMY ST
- City
- Randleman
- State
- North Carolina
- ZIP Code
- 27317
- Phone
- (336) 498-1200
Authorized Official
- Name
- DR. JOHN JAMES SLATOSKY JR., DO
- Title
- OWNER PHYSICIAN
- Phone
- (336) 498-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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