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NPI Code Detail

MEDICARE: PAMELA BARBER SALAZAR M.D.

MEDICARE:   PAMELA BARBER SALAZAR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician044834GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2216760OTHERGABCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
45590519OTHERAETNA

General Provider Information

NPI Number : 1447257811
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA BARBER SALAZAR M.D.
Provider Business Mailing Address
First Line : 630 13TH ST
Second Line : SUITE 10
City : AUGUSTA
State : GA
Zip : 30901-1015
Country : US
Telephone Number : 706-722-1244
Fax Number : 706-722-6566
Provider Business Practice Location Address
First Line : 630 13TH ST
Second Line : SUITE 10
City : AUGUSTA
State : GA
Zip : 30901-1015
Country : US
Telephone Number : 706-722-1244
Fax Number : 706-722-6566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 02/05/2010

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Directions to “ PAMELA BARBER SALAZAR M.D.” Practice Location

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