Doctor Name: | SALENA L MCCREARY |
NPI Number: | 1528258928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 307 Springhill Dr Brewton, AL - 364264433 |
Business Phone Number: | 2515830247 |
Business Fax Number: | |
Mailing Address: | 307 Springhill Dr, BREWTON |
State: | AL |
Postal Code: | 364264433 |
Phone Number: | 2515830247 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 07/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |