Individual
PAMELA BARBER SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 13TH ST, SUITE 10, AUGUSTA, GA 30901-1015
(706) 722-1244
(706) 722-6566
Mailing address
630 13TH ST, SUITE 10, AUGUSTA, GA 30901-1015
(706) 722-1244
(706) 722-6566
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
044834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00774012C
—
GA
01
—
216760
BCBS
GA
01
—
5590519
AETNA
—
05
—
G44834
—
SC
Enumeration date
06/30/2005
Last updated
02/05/2010
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