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Corey Slacks
NPI 1588264162 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5401 Fairington Rd
Lithonia, GA 30038 - Phone
- (770) 598-4998
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Lithonia Family Eye Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia