SCOTT LANE SLATE

WINSTON SALEM, NC
NPI1558595199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NC  0010-01754)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NC  0010-01754)
Enumeration Date2009-05-12
Last Update Date2011-12-19
Business Address
Mr. SCOTT LANE SLATE PA-C
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
Mailing Address
Mr. SCOTT LANE SLATE PA-C
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255