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NPI Code Detail

MEDICARE: JULIE SANTIAGO PA-C

MEDICARE: JULIE SANTIAGO PA-C
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
1363A00000XPhysician Assistant319162NC

General Provider Information

NPI Number : 1972282762
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE SANTIAGO PA-C
Provider Business Mailing Address
First Line : PO BOX 23329
Second Line :
City : NEW YORK
State : NY
Zip : 10087-3329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 720 JEFFERSON ST
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3706
Country : US
Telephone Number : 910-251-9944
Fax Number : 910-763-4666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2023
Last Update Date : 03/27/2026

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Directions to “ JULIE SANTIAGO PA-C” Practice Location

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