# SAUL DERMATOLOGY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932553245
- **Authorized official:** KENNETH DANIEL SAUL M.D. (PHYSICIAN)
- **Authorized official phone:** (601) 512-0500

## Contact information

- **Practice address:** 5002 HIGHWAY 39 N BLDG A, MERIDIAN, MS 39301-1078
- **Practice address phone:** (601) 512-0500
- **Practice address fax:** (601) 512-0505
- **Mailing address:** 5002 HIGHWAY 39 N BLDG A, MERIDIAN, MS 39301-1078
- **Mailing address phone:** (601) 512-0500
- **Mailing address fax:** (601) 512-0505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 22764 | MS | Yes |

## Other

- **Enumeration date:** 04/22/2016
- **Last updated:** 09/28/2016