Provider Demographics
NPI:1992940597
Name:SALVITTI, PAMELA B
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:B
Last Name:SALVITTI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:PAMELA
Other - Middle Name:B
Other - Last Name:SALVITTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:3201 GREENHOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2129
Mailing Address - Country:US
Mailing Address - Phone:336-282-6179
Mailing Address - Fax:
Practice Address - Street 1:3201 GREENHOLLOW DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2129
Practice Address - Country:US
Practice Address - Phone:336-282-6179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2450755Medicare PIN