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NPI Code Detail

MEDICARE: PAIGE SANTMYER MA NCC APC

MEDICARE: PAIGE SANTMYER MA NCC APC
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
1101YM0800XMental Health CounselorAPC006821GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11851712640OTHERGANPI FOR GROUP THERAPY PRACTICE- ASSUMED NPPES ISSUED IT

General Provider Information

NPI Number : 1598437436
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE SANTMYER MA NCC APC
Provider Business Mailing Address
First Line : 415 WEXFORD OVERLOOK DR
Second Line :
City : ROSWELL
State : GA
Zip : 30075-5545
Country : US
Telephone Number : 770-689-7828
Fax Number :
Provider Business Practice Location Address
First Line : 102 MACY DR
Second Line :
City : ROSWELL
State : GA
Zip : 30076-6329
Country : US
Telephone Number : 678-534-3824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/29/2021

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Directions to “ PAIGE SANTMYER MA NCC APC” Practice Location

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