| Maria C. Santana,llc | |
|
5440 Lawrenceville Hwy Lilburn GA 30047 | |
| (770) 925-7898 | |
| (770) 925-7873 |
| Full Name | Maria C. Santana,llc |
|---|---|
| Speciality | Psychologist |
| Location | 5440 Lawrenceville Hwy, Lilburn, Georgia |
| Authorized Official Name and Position | Maria Carmen Santana (PSYCHOLOGIST) |
| Authorized Official Contact | 7709257898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria C. Santana,llc 3315 Francine Dr Decatur GA 30033 Ph: (404) 428-6084 | Maria C. Santana,llc 5440 Lawrenceville Hwy Lilburn GA 30047 Ph: (770) 925-7898 |
| NPI Number | 1932430196 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 01/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932430196 | NPI | - | NPPES |
| 678580757D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY003121 (Georgia) | Primary |
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