Slavin, Douglas Robert
Slavin, Douglas Robert is an sole proprietor health care provider with primary practice located at 1100 Green St Sw , Conyers GA 30012-5220. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Slavin, Douglas Robert can be contacted via phone (404) 834-1513.Contact Information
Primary practice address
1100 Green St Sw
Conyers GA 30012-5220
Phone: (404) 834-1513
Fax: (770) 783-8001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 239 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 000239 | Georgia |
Profile Details
| NPI number | 1750311890 |
|---|---|
| LBN Legal business name | Slavin, Douglas Robert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 23rd, 2016 - about 9 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 | 1750311890 | NPPES |
| Georgia | MEDICAID | 000367837B |
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