Healthcare Provider Details

I. General information

NPI: 1003885963
Provider Name (Legal Business Name): SALISBURY ORTHOPAEDIC ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 GROVE ST
SALISBURY NC
28144-3233
US

IV. Provider business mailing address

605 GROVE ST
SALISBURY NC
28144-3233
US

V. Phone/Fax

Practice location:
  • Phone: 704-633-6442
  • Fax: 704-633-7569
Mailing address:
  • Phone: 704-633-6442
  • Fax: 704-633-7569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA M JARRETT
Title or Position: OFFICE MANAGER
Credential:
Phone: 704-633-6442