Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | T3046 | MS |
N | 208600000X | Surgeon | T3046 | MS |
Y | 208D00000X | General Practice Physician | DO 1653 | AL |
NPI | 1023493111 |
---|---|
Provider Name | Solomon Saul |
First Address | Montgomery, AL 36112 |
Second Address | Montgomery, AL 36112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2015 |
Last Update Date | 27/10/2016 |