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NPI Code Detail

MEDICARE: RILEY ALLAN SALTER

MEDICARE: RILEY ALLAN SALTER
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
1363LP2300XPrimary Care Nurse Practitioner1-178751AL

General Provider Information

NPI Number : 1780518654
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY ALLAN SALTER
Provider Business Mailing Address
First Line : 2601 VILLAGE PROFESSIONAL DR N
Second Line :
City : OPELIKA
State : AL
Zip : 36801-4784
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 VILLAGE PROFESSIONAL DR N
Second Line :
City : OPELIKA
State : AL
Zip : 36801-4784
Country : US
Telephone Number : 334-528-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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