Derrick Le'Mon Sloan Jr, MD Sloan
Internal Medicine in West Memphis, AR. Individual provider (NPI-1).
NPI number1619625522
StatusActive
Last updated in NPPESMar 10, 2022
Details
- NPI
- 1619625522
- Entity type
- Individual (NPI-1)
- Name
- Derrick Le'Mon Sloan Jr
- Credential
- MD Sloan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2022
- Certification date
- Mar 10, 2022
- Last updated
- Mar 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | IS456210 | AR | Yes |
Practice location
900 N 7th StWest Memphis, AR 72301-2001
Phone 574-943-5094
Mailing address
3119 S Palm StPine Bluff, AR 71603-5772
Phone 708-846-4789
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