Healthcare Provider Details

I. General information

NPI: 1225082902
Provider Name (Legal Business Name): FRANCES DELAINE SALTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 6TH AVE
ATMORE AL
36502-2622
US

IV. Provider business mailing address

112 6TH AVE
ATMORE AL
36502-2622
US

V. Phone/Fax

Practice location:
  • Phone: 251-368-8999
  • Fax: 251-368-8887
Mailing address:
  • Phone: 251-368-8999
  • Fax: 251-368-8887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00012252
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: