Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENEA SLACK
Active Sole ProprietorCommunity Health Worker · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1760074736
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2021 (5.2125623986437 yrs)
- Last Updated
- Feb 10, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1302 GRISHABER STSOUTH CHARLESTON, WV, 253032031Browse WV providers · Browse ZIP 25303
- Phone
- 3045391554
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| TERI WHELAN | — | 1104418003 |
| LARON D WILLIS | — | 1730772237 |
| LISA NESTOR | — | 1003409129 |
| SHIRLEY WHITT | — | 1851984892 |
| SYDNEY A KING | — | 1649863689 |
| JORDAN WHITTINGTON | — | 1992399570 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.