Provider Demographics
NPI:1346806890
Name:SANTOS, PATRICIA MAE GARCIA (MD, MS)
Entity type:Individual
Prefix:DR
First Name:PATRICIA MAE
Middle Name:GARCIA
Last Name:SANTOS
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 BLUE SLIP APT 23B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-7387
Mailing Address - Country:US
Mailing Address - Phone:347-880-2266
Mailing Address - Fax:
Practice Address - Street 1:80 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3050
Practice Address - Country:US
Practice Address - Phone:404-616-3947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1015772085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty