Provider Demographics
NPI:1831519891
Name:SALAS ROBINSON, ARELIS (MD)
Entity type:Individual
Prefix:
First Name:ARELIS
Middle Name:
Last Name:SALAS ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARELIS
Other - Middle Name:M
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1501 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-4228
Mailing Address - Country:US
Mailing Address - Phone:318-675-4314
Mailing Address - Fax:
Practice Address - Street 1:1700 TREE LN STE 490
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6756
Practice Address - Country:US
Practice Address - Phone:770-939-2828
Practice Address - Fax:770-979-3139
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA85851207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program