Provider Demographics
NPI:1558441212
Name:SAAD, JULIETTE S (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:S
Last Name:SAAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WILLOW LANE
Mailing Address - Street 2:STE 1A
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307
Mailing Address - Country:US
Mailing Address - Phone:864-542-8714
Mailing Address - Fax:864-278-7900
Practice Address - Street 1:100 WILLOW LANE
Practice Address - Street 2:STE 1A
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307
Practice Address - Country:US
Practice Address - Phone:864-542-8714
Practice Address - Fax:864-278-7900
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC183512084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP2019Medicaid
E91380Medicare UPIN
E91380Medicare ID - Type Unspecified
5710Medicare ID - Type Unspecified