# MENS EXECUTIVE HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881956290
- **Authorized official:** MR. ROBERT CHRIS SALTER CPRN (NURSE PRACTITIONER)
- **Authorized official phone:** (770) 328-2006

## Contact information

- **Practice address:** 2798 JOHN HAWKINS PKWY STE 128, HOOVER, AL 35244-3108
- **Practice address phone:** (770) 328-2006
- **Mailing address:** 1250 WATTS RD, BOWDON, GA 30108-2757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | AL 20705 | AL | Yes |
| 207Q00000X | Family Medicine Physician | AL 24557 | AL | — |
| 363L00000X | Nurse Practitioner | 1071631 | AL | — |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012