Provider Demographics
NPI:1922723535
Name:SLATON, ACQUINETTA (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:ACQUINETTA
Middle Name:
Last Name:SLATON
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5442 ROCK LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-8905
Mailing Address - Country:US
Mailing Address - Phone:470-629-8654
Mailing Address - Fax:
Practice Address - Street 1:5442 ROCK LAKE DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-8905
Practice Address - Country:US
Practice Address - Phone:470-629-2483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAA6R4W3Q9246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy