Provider Demographics
NPI:1740228048
Name:SALYER, GREGORY W (AU,D,CCC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:W
Last Name:SALYER
Suffix:
Gender:M
Credentials:AU,D,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MITCHELL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2616
Mailing Address - Country:US
Mailing Address - Phone:828-586-7474
Mailing Address - Fax:828-586-7473
Practice Address - Street 1:40 MITCHELL RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-2616
Practice Address - Country:US
Practice Address - Phone:828-586-7474
Practice Address - Fax:828-586-7473
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1577231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1577OtherNC AUDIOLOGY LICENSE
NC3404243Medicaid
NC74369OtherBLUE CROSS BLUE SHIELD NC
NC1577OtherNC AUDIOLOGY LICENSE