Provider Demographics
NPI:1083349344
Name:SLS CONSULTATION FIRM PLLC
Entity Type:Organization
Organization Name:SLS CONSULTATION FIRM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:CORTNEY
Authorized Official - Last Name:SAILES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-899-3990
Mailing Address - Street 1:971 LAKELAND DR STE 661
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4608
Mailing Address - Country:US
Mailing Address - Phone:601-899-3990
Mailing Address - Fax:
Practice Address - Street 1:971 LAKELAND DR STE 661
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4608
Practice Address - Country:US
Practice Address - Phone:601-899-3990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty