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NPI Code Detail

MEDICARE: MR. ADEMOLA A SALAMI CRNA

MEDICARE: MR. ADEMOLA A SALAMI CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist1451SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760481196
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADEMOLA A SALAMI CRNA
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 7 INDEPENDENCE PT STE 300
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4569
Country : US
Telephone Number : 864-522-3700
Fax Number : 864-522-3705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 07/12/2022

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