Provider Demographics
NPI:1558139279
Name:MYERS-SALTZGAVER, TAYLOR-KRISTEN SEBRINA (MASTER OF ART)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR-KRISTEN
Middle Name:SEBRINA
Last Name:MYERS-SALTZGAVER
Suffix:
Gender:F
Credentials:MASTER OF ART
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N WESTOVER BLVD.
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707
Mailing Address - Country:US
Mailing Address - Phone:813-947-9975
Mailing Address - Fax:229-329-4373
Practice Address - Street 1:ALBANY AREA PRIMARY HEALTH CARE, INC.
Practice Address - Street 2:204 N. WESTOVER BLVD.
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707
Practice Address - Country:US
Practice Address - Phone:229-888-6559
Practice Address - Fax:229-329-4373
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program