Provider Demographics
NPI:1477668523
Name:SALVADOR, WENIMAR D (MD)
Entity Type:Individual
Prefix:
First Name:WENIMAR
Middle Name:D
Last Name:SALVADOR
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2209 S STERLING ST STE 330
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4093
Mailing Address - Country:US
Mailing Address - Phone:828-580-7536
Mailing Address - Fax:828-580-7537
Practice Address - Street 1:720 MALCOLM BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CONNELLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28612-7920
Practice Address - Country:US
Practice Address - Phone:828-580-7536
Practice Address - Fax:828-580-7537
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
NC2009-00695207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1477668523Medicaid