Provider Demographics
NPI:1003813114
Name:SLAWEK, DAVID F (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:SLAWEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 FLEMING ST
Mailing Address - Street 2:STE B
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4250
Mailing Address - Country:US
Mailing Address - Phone:828-692-2801
Mailing Address - Fax:828-696-1756
Practice Address - Street 1:510 FLEMING ST
Practice Address - Street 2:STE B
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4250
Practice Address - Country:US
Practice Address - Phone:828-692-2801
Practice Address - Fax:828-696-1756
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17902207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
76910OtherBCBS NC
NC8976910Medicaid
201496Medicare ID - Type Unspecified
NC8976910Medicaid