Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 8983 | SC |
Y | 208000000X | Pediatrician | 8983 | SC |
NPI | 1366433930 |
---|---|
Provider Name | Robert Anthony Saul |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605-4267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 26/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
089834 | (05) | SC |
C61267 | (02) | SC |