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Individual

DR. MICHAEL VINCENT SANTOTOME MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
285 BOULEVARD NE STE 415, ATLANTA, GA 30312-4210
(404) 265-4400
(404) 265-4452
Mailing address
285 BOULEVARD NE, SUITE 415, ATLANTA, GA 30312
(404) 265-4400
(404) 265-4452

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
073365
GA
2084N0400X
Neurology Physician
073365
GA
2084N0600X
Clinical Neurophysiology Physician
073365
GA

Other

Enumeration date
07/16/2010
Last updated
09/07/2017
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