Individual
DIANA ALMA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-4700
(770) 400-4096
Mailing address
255 PROFESSIONAL CT, RIVERDALE, GA 30274-2531
(770) 907-0554
(770) 907-9048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
42421
GA
2085R0001X
Radiation Oncology Physician
Primary
42421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00740847A
—
GA
05
—
00740847B
—
GA
05
—
00740847C
—
GA
05
—
00740847D
—
GA
05
—
00740847E
—
GA
Enumeration date
06/05/2006
Last updated
12/27/2021
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