Provider Demographics
NPI:1528404530
Name:SLAUGHTER, DONALD GRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:GRAHAM
Last Name:SLAUGHTER
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:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:WOOLFORD
Mailing Address - State:MD
Mailing Address - Zip Code:21677-0069
Mailing Address - Country:US
Mailing Address - Phone:410-228-4497
Mailing Address - Fax:
Practice Address - Street 1:4913 LEE TER
Practice Address - Street 2:
Practice Address - City:WOOLFORD
Practice Address - State:MD
Practice Address - Zip Code:21677-1319
Practice Address - Country:US
Practice Address - Phone:410-228-4497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0008109173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine