Organization
MENS EXECUTIVE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CHRIS SALTER CPRN (NURSE PRACTITIONER)
(770) 328-2006
Entity
Organization
Contact information
Practice address
2798 JOHN HAWKINS PKWY STE 128, HOOVER, AL 35244-3108
(770) 328-2006
Mailing address
1250 WATTS RD, BOWDON, GA 30108-2757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AL 20705
AL
207Q00000X
Family Medicine Physician
AL 24557
AL
363L00000X
Nurse Practitioner
1071631
AL
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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