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Individual

MARY ROSE SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 952-9824
(205) 952-9815
Mailing address
1200 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 952-9824
(205) 952-9815

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20519
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00121585
MS
Enumeration date
04/20/2006
Last updated
02/21/2011
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