Individual
MR. WILLIAM CLYDE SAULTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
749 SEMINARY MIKE CONNER RD, COLLINS, MS 39428
(601) 773-0195
Mailing address
749 SEMINARY MIKE CONNER RD, COLLINS, MS 39428
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
MS
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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