NPI Code Details Logo

NPI 1477668523

NPI 1477668523 : WENIMAR D. SALVADOR M.D. : CONNELLY SPRINGS, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477668523
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    WENIMAR D. SALVADOR M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/20/2006
-----------------------------------------------------
    Last Update Date     |    03/17/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    720 MALCOLM BLVD STE 200 
-----------------------------------------------------
    City                 |    CONNELLY SPRINGS
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28612-7920
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-580-7536
-----------------------------------------------------
    Fax                  |    828-580-7537
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2209 S STERLING ST STE 330 
-----------------------------------------------------
    City                 |    MORGANTON
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28655-4093
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-580-7536
-----------------------------------------------------
    Fax                  |    828-580-7537
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RH0003X
-----------------------------------------------------
    Taxonomy Name        |    Hematology & Oncology Physician
-----------------------------------------------------
    License Number       |    2009-00695
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.