MEDICARE: ANTHONY SAUL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1003774589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY SAUL

Provider Business Mailing Address
First Line	:	2300 N DAVIDSON ST APT 206
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-8703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 PINEVILLE MATTHEWS RD STE 350
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4751
Country	:	US
Telephone Number	:	866-434-3255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ ANTHONY SAUL ” Practice Location

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