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NPI Code Detail

MEDICARE: DAVID CRAIG SALTIN PA-C

MEDICARE:   DAVID CRAIG SALTIN  PA-C
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
1363A00000XPhysician Assistant003215GA
2363A00000XPhysician Assistant0010-08955NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790884617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CRAIG SALTIN PA-C
Provider Business Mailing Address
First Line : 5665 NEW NORTHSIDE DR NW
Second Line :
City : ATLANTA
State : GA
Zip : 30384
Country : US
Telephone Number : 770-874-5400
Fax Number :
Provider Business Practice Location Address
First Line : 45 PLATEAU ST
Second Line :
City : BRYSON CITY
State : NC
Zip : 28713-4200
Country : US
Telephone Number : 828-488-2155
Fax Number : 828-488-4039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 05/20/2019

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Directions to “ DAVID CRAIG SALTIN PA-C” Practice Location

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