Santos, Raul Gabriel

Santos, Raul Gabriel is an individual health care provider with primary practice located at 334 Smith Ave , Thomasville GA 31792-5533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Santos, Raul Gabriel can be contacted via phone (229) 227-1595.

Contact Information

Primary practice address
334 Smith Ave Thomasville GA 31792-5533
Phone: (229) 227-1595
Fax: (229) 227-1385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 041662 Georgia

Profile Details

NPI number 1124008297
LBN Legal business name Santos, Raul Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Sep 13th, 2018 - about 7 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 1124008297 NPPES
Georgia MEDICAID 000708452B
Georgia MEDICAID 000708452G
Georgia MEDICAID 000708452Q
Georgia MEDICAID 000708452D
Georgia MEDICAID 000708452Z
Georgia MEDICAID 000708452A
Georgia MEDICAID 000708452C
Georgia MEDICAID 000708452H
Georgia MEDICAID 000708452AA

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