person
Mr. Simeon Charles Slayton II, MS
Durable Medical Equipment & Medical Supplies in Manassas, Virginia
NPI 1770833030

Simeon Charles Slayton II is a Durable Medical Equipment & Medical Supplies based in Manassas, VA. Simeon Charles Slayton II practices in Manassas, VA and has the professional credentials of MS. The NPI Number for Simeon Charles Slayton II is 1770833030 and holds a License No. 2705 124382 (Virginia).

The current practice location address for Simeon Charles Slayton II is 10519 Godwin Dr, Manassas, VA and can be reached out via phone at 703-489-9300 and via fax at 703-530-0961. You can also correspond with Simeon Charles Slayton II through the mailing address at 10519 GODWIN DR, MANASSAS, VA - 20112-2736 (mailing address contact number: 703-489-9300).

Location: 10519 Godwin Dr, Manassas, VA, 20112-2736
person
Provider Profile Details
NPI Number
1770833030
Provider Name
Simeon Charles Slayton II
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
10519 Godwin Dr, Manassas, VA, 20112-2736
Phone Number
703-489-9300
Fax Number
703-530-0961
Provider Enumeration Date
09/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12L24920 01 VA UNIQUE HOMES BUSINESS LICENSE
2705-124382 01 VA CONTRACTORS LISENCE
institution
Provider Business Practice Location Address Details
Address
10519 Godwin Dr
City
State
Zip
20112-2736
Phone Number
703-489-9300
Fax Number
703-530-0961
person
Provider Business Mailing Address Details
Address
10519 Godwin Dr
City
State
Zip
20112-2736
Phone Number
703-489-9300
Fax Number
703-530-0961
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
2705 124382 (Virginia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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