Individual
DR. SAUL JAVIER BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7844
(864) 455-7848
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7844
(864) 455-7848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL82813
SC
208D00000X
General Practice Physician
Primary
320049
NY
Other
Enumeration date
06/13/2019
Last updated
01/30/2023
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