Provider Demographics
NPI:1275015380
Name:SAULTERS, CARLY ARMATO (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CARLY
Middle Name:ARMATO
Last Name:SAULTERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:CARLY
Other - Middle Name:MARIE
Other - Last Name:ARMATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 601843
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9121 SAM FURR RD STE 108
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8235
Practice Address - Country:US
Practice Address - Phone:704-324-3590
Practice Address - Fax:704-324-3591
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-08410363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant