Provider Demographics
NPI:1114906229
Name:SALES, MARIA C (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:SALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 BAY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5265
Mailing Address - Country:US
Mailing Address - Phone:256-547-4441
Mailing Address - Fax:256-547-6301
Practice Address - Street 1:303 BAY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5265
Practice Address - Country:US
Practice Address - Phone:256-547-4441
Practice Address - Fax:256-547-6301
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20340173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-51088OtherPROVIDER #
ALG00483Medicare UPIN