Healthcare Provider Details

I. General information

NPI: 1851335418
Provider Name (Legal Business Name): ANNE TERESA SALADYGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 DURALEIGH RD STE 205
RALEIGH NC
27612-8105
US

IV. Provider business mailing address

3100 DURALEIGH RD STE 205
RALEIGH NC
27612-8105
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-7874
  • Fax:
Mailing address:
  • Phone: 919-784-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number58914
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number85674
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2022-00982
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: