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Organization
SAUL DERMATOLOGY PA
Active
Organization
SAUL DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DANIEL SAUL M.D. (PHYSICIAN)
(601) 512-0500
Entity
Organization
Contact information
Practice address
5002 HIGHWAY 39 N BLDG A, MERIDIAN, MS 39301-1078
(601) 512-0500
(601) 512-0505
Mailing address
5002 HIGHWAY 39 N BLDG A, MERIDIAN, MS 39301-1078
(601) 512-0500
(601) 512-0505
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
22764
MS
Other
Enumeration date
04/22/2016
Last updated
09/28/2016
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