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1083679252

NPI Code Detail

MEDICARE: DR. JOSE A SANTIAGO MD

MEDICARE: DR. JOSE A SANTIAGO MD

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
1	207T00000X	Neurological Surgery Physician	056393	GA
2	207T00000X	Neurological Surgery Physician	18840	SC
3	207T00000X	Neurological Surgery Physician	G5572	TX
4	207T00000X	Neurological Surgery Physician	MD425822	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083679252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE A SANTIAGO MD

Provider Business Mailing Address
First Line	:	1 FREEDOM WAY
Second Line	:	VA MEDICAL CENTER, NEUROSURGERY
City	:	AUGUSTA
State	:	GA
Zip	:	30904-6258
Country	:	US
Telephone Number	:	706-733-0188
Fax Number	:	706-823-1751

Provider Business Practice Location Address
First Line	:	1 FREEDOM WAY
Second Line	:	VA MEDICAL CENTER, NEUROSURGERY
City	:	AUGUSTA
State	:	GA
Zip	:	30904-6258
Country	:	US
Telephone Number	:	706-733-0188
Fax Number	:	706-823-1751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	07/11/2007

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Directions to “ DR. JOSE A SANTIAGO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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