Provider Demographics
NPI:1083404388
Name:SLOAN, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SLOAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 7TH WAY NE
Mailing Address - Street 2:
Mailing Address - City:CARBON HILL
Mailing Address - State:AL
Mailing Address - Zip Code:35549-4019
Mailing Address - Country:US
Mailing Address - Phone:205-300-1503
Mailing Address - Fax:205-300-1503
Practice Address - Street 1:414 7TH WAY NE
Practice Address - Street 2:
Practice Address - City:CARBON HILL
Practice Address - State:AL
Practice Address - Zip Code:35549-4019
Practice Address - Country:US
Practice Address - Phone:205-300-1503
Practice Address - Fax:205-300-1503
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications