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General NPI Number Information
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NPI Number | 1144244914
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Entity Type | Individual
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Provider Name | JOHN F SALAZAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 1348 WALTON WAY SUITE 5100
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City | AUGUSTA
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State | GA
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Zip | 30901-5104
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Country | US
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Telephone | 706-724-8611
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Fax | 706-724-6202
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Provider Business Mailing Address
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Address Line | 1348 WALTON WAY SUITE 5100
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City | AUGUSTA
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State | GA
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Zip | 30901-5104
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Country | US
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Telephone | 706-724-8611
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Fax | 706-724-6202
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 024079
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18452
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License Number State | SC
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