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Individual

DAVID THERON SAULS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
109 CARTER PARK DR STE 3A, SENECA, SC 29678-1152
(864) 885-0058
Mailing address
109 CARTER PARK DR STE 3A, SENECA, SC 29678-1152
(864) 885-0058
(864) 885-0098

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
026644
GA
207R00000X
Internal Medicine Physician
Primary
86485
SC
207V00000X
Obstetrics & Gynecology Physician
26644
GA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
26644
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000304059G
GA
Enumeration date
09/14/2006
Last updated
08/24/2021
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