Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Haven Family Medicine PA

Organization Family Medicine Physician · NPI 1891960241

Pine Haven Family Medicine PA is a Family Medicine Physician in Randleman, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

604 W Academy St
Randleman, NC 27317
Phone: (336) 498-1200
Fax: (336) 498-1206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9900682 (NC)

Record details

NPI number1891960241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Slatosky — Owner Physician · (336) 498-1200
NPI enumeratedApril 28, 2008
Last updated in NPPESNovember 30, 2012
Mailing address604 West Academy St, Randleman, NC 27317

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