Individual
KATHERINE BERNADETTE SANTOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD STE 310, ATLANTA, GA 30342-1725
(404) 902-2485
(404) 857-3696
Mailing address
875 JOHNSON FY RD NE, ATLANTA, GA 30342-1418
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
87537
GA
Other
Enumeration date
06/05/2012
Last updated
03/17/2025
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