Individual
SALLY PULLEN SALTER-BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 10TH AVE S STE 402, BIRMINGHAM, AL 35205-1250
(205) 933-6440
(205) 933-6442
Mailing address
PO BOX 55361, BIRMINGHAM, AL 35255-5361
(205) 933-6440
(205) 933-6442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21468
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051502091SAL
BLUE CROSS
AL
01
—
1710568
UNITED HEALTH CARE
—
05
—
SA051502091
—
AL
Enumeration date
07/11/2006
Last updated
05/30/2019
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