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Individual

DR. PABLO J SANTAMARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.S.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-7201
(706) 721-8623
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
041661
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000756863B
GA
Enumeration date
11/06/2006
Last updated
05/15/2020
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