Provider Demographics
NPI:1447975750
Name:BARTEE, SALENA
Entity type:Individual
Prefix:MS
First Name:SALENA
Middle Name:
Last Name:BARTEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 SUMMERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-7122
Mailing Address - Country:US
Mailing Address - Phone:910-929-0608
Mailing Address - Fax:
Practice Address - Street 1:3909 SUMMERFIELD LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-7122
Practice Address - Country:US
Practice Address - Phone:910-929-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCGYRLOWND347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle