SAUL DERMATOLOGY PA NPI 1932553245

NPI Information

SAUL DERMATOLOGY PA is a medical specialty clinic center in Meridian, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SAUL DERMATOLOGY PA NPI is 1932553245. The provider is registered as an organization entity type.

The provider's business location address is:

5002 HIGHWAY 39 N BLDG A
MERIDIAN, MS
ZIP 39301-078
Phone: (601) 512-0500
Fax: (601) 512-0505

The provider's authorized official is Kenneth Daniel Saul .
The authorized official title is Physician and has the following contact phone number (601) 512-0500.

The CLIA number assigned to this NPI record is 25D2137451 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/22/2016 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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