Santiago, Diana Alma

Santiago, Diana Alma is an individual health care provider with primary practice located at 745 Poplar Rd , Newnan GA 30265-1618. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Santiago, Diana Alma can be contacted via phone (770) 400-4700.

Contact Information

Primary practice address
745 Poplar Rd Newnan GA 30265-1618
Fax: (770) 400-4096
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 42421 Georgia
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 42421 Georgia

Profile Details

NPI number 1073552196
LBN Legal business name Santiago, Diana Alma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073552196 NPPES
Georgia MEDICAID 00740847A
Georgia MEDICAID 00740847B
Georgia MEDICAID 00740847E
Georgia MEDICAID 00740847C
Georgia MEDICAID 00740847D

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