Healthcare Provider Details

I. General information

NPI: 1740645829
Provider Name (Legal Business Name): ARTURO DEERING SALOW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2015
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10055 FORD AVE STE 4A
RICHMOND HILL GA
31324-3974
US

IV. Provider business mailing address

10055 FORD AVE STE 4A
RICHMOND HILL GA
31324-3974
US

V. Phone/Fax

Practice location:
  • Phone: 912-623-4756
  • Fax:
Mailing address:
  • Phone: 912-623-4756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number97642
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number97642
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: