Dr Jose Carlos Santa, | |
9864 Rea Rd Ste B, Charlotte, NC 28277-6792 | |
(980) 339-3058 | |
Not Available |
Full Name | Dr Jose Carlos Santa |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 9864 Rea Rd Ste B, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457079295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5508 (North Carolina) | Primary |
Provider Name | Adio Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538539655 PECOS PAC ID: 9638489602 Enrollment ID: O20151103001138 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose Carlos Santa, 9864 Rea Rd Ste B, Charlotte, NC 28277-6792 Ph: (980) 339-3058 | Dr Jose Carlos Santa, 9864 Rea Rd Ste B, Charlotte, NC 28277-6792 Ph: (980) 339-3058 |
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