Individual
MR. GERARDO A SANTIAGO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 MEDICAL CIR, WEST COLUMBIA, SC 29169-3642
(803) 509-7316
Mailing address
409 SPRING ST, LEXINGTON, SC 29072-4006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
05/05/2022
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