Provider Demographics
NPI:1477616837
Name:SLAYDEN, JEAN ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:ELIZABETH
Last Name:SLAYDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:JEAN
Other - Last Name:SLAYDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5887 GLENRIDGE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-9929
Mailing Address - Country:US
Mailing Address - Phone:678-915-2882
Mailing Address - Fax:770-284-3209
Practice Address - Street 1:5887 GLENRIDGE DR STE 230
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-9929
Practice Address - Country:US
Practice Address - Phone:678-915-2882
Practice Address - Fax:770-284-3209
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA448422084P0800X
GA0448422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GABS3661724OtherDEA