SearchGeorgia343900000X

Santos Ortiz

NPI 1720353642 · on the registry since 2012 · sole proprietor

Practice

Address
4761 Pauline Rd
Douglasville, GA 30135
Phone
(678) 531-0618

Registry record

Primary taxonomy
343900000X
343900000X
Also registered as
3416L0300X
146M00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia