Individual
NESEMIO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
880 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047-6844
(770) 921-1498
(770) 921-6702
Mailing address
544 RIVULETT CT, LAWRENCEVILLE, GA 30043-5487
(770) 921-1498
(770) 921-6702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007788
GA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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