Provider Demographics
NPI:1457314213
Name:SLOCUM, CHRISTOPHER LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:SLOCUM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1906 BELLEVIEW AVE SE
Mailing Address - Street 2:13 WEST, PEDIATRIX GROUP
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-1838
Mailing Address - Country:US
Mailing Address - Phone:540-266-6012
Mailing Address - Fax:540-982-3687
Practice Address - Street 1:1906 BELLEVIEW AVE SE
Practice Address - Street 2:13 WEST, PEDIATRIX GROUP
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1838
Practice Address - Country:US
Practice Address - Phone:540-266-6012
Practice Address - Fax:540-982-3687
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2018-03-29
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Provider Licenses
StateLicense IDTaxonomies
VA0101241839208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics