Healthcare Provider Details

I. General information

NPI: 1801659933
Provider Name (Legal Business Name): DR SAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 02/04/2024
Certification Date: 02/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 OLD WINDER HWY STE 200
BRASELTON GA
30517-1240
US

IV. Provider business mailing address

3000 OLD ALABAMA RD STE 119
ALPHARETTA GA
30022-8555
US

V. Phone/Fax

Practice location:
  • Phone: 404-593-0090
  • Fax:
Mailing address:
  • Phone: 404-593-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SALMAN HEMANI
Title or Position: CEO
Credential: MD
Phone: 404-593-0090