Provider Demographics
NPI:1275503112
Name:SALVINO, ANN RENEE (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:RENEE
Last Name:SALVINO
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 328
Mailing Address - Street 2:CAROLINAS MEDICAL CENTER, CLINICAL GENETICS
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28232-2861
Mailing Address - Country:US
Mailing Address - Phone:704-355-3159
Mailing Address - Fax:704-355-8700
Practice Address - Street 1:1000 BLYTHE BLVD
Practice Address - Street 2:CAROLINAS MEDICAL CENTER, CLINICAL GENETICS
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-355-3159
Practice Address - Fax:704-355-8700
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96204170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS