Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 16851 | MS |
Y | 208600000X | Surgeon | 16851 | MS |
NPI | 1003849068 |
---|---|
Provider Name | Dr. Charles Saul |
First Address | Laurel, MS 39441-0247 |
Second Address | Laurel, MS 39440-4306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 08/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H20474 | (02) | MS |