Individual
MARK A SALVAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PARK DR STE 400, CONCORD, NC 28025-0939
(704) 786-1108
(704) 782-1826
Mailing address
200 MEDICAL PARK DR STE 400, CONCORD, NC 28025-0939
(704) 786-1108
(704) 782-1826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101238654
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010195390
—
VA
01
—
183841
ANTHEM
VA
Enumeration date
01/14/2006
Last updated
08/08/2022
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