Individual
NICHOLAS J SALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
132B SUNSET COURT, WEST COLUMBIA, SC 29169-2429
(803) 796-5116
(803) 796-5131
Mailing address
132B SUNSET COURT, WEST COLUMBIA, SC 29169-2429
(803) 796-5116
(803) 796-5131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49980743
BLUECROSS BLUESHIELD OF SOUTH CAROLINA
SC
01
—
P00470381
MEDICARE RAILROAD
SC
Enumeration date
07/05/2007
Last updated
05/15/2008
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