Individual
MR. NATHAN D. SALYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000000517
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3373632
MEDICARE GROUP PTAN #
TN
05
—
3376900
—
TN
Enumeration date
09/06/2006
Last updated
01/16/2025
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