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1932581618
DANIEL SLACK
CHARLOTTE, NC
NPI
1932581618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NC 2021-00579)
Enumeration Date
2015-06-18
Last Update Date
2021-09-27
Business Address
DANIEL SLACK MD
2630 E 7TH ST
CHARLOTTE, NC 28204-4318
Phone number: 704-355-9484
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Mailing Address
DANIEL SLACK MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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