Individual
SULE A SALAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 E 4TH AVE, CORDELE, GA 31015-3210
(229) 273-3883
(229) 273-3893
Mailing address
PO BOX 250, CORDELE, GA 31010-0250
(229) 273-3883
(229) 273-3893
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
031114
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00393797C
—
GA
Enumeration date
05/17/2006
Last updated
01/12/2011
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