Provider Demographics
NPI:1518922244
Name:SALES, EILEEN F (MD)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:F
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 1:706 SUMMIT CROSSING PL
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2175
Mailing Address - Country:US
Mailing Address - Phone:704-854-3600
Mailing Address - Fax:704-854-3619
Practice Address - Street 1:706 SUMMIT CROSSING PL
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2175
Practice Address - Country:US
Practice Address - Phone:704-854-3600
Practice Address - Fax:704-854-3619
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94 01013207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8974265Medicaid
F82850Medicare UPIN
NC2199919Medicare ID - Type Unspecified