Provider Demographics
NPI:1790240034
Name:SANTEMD LLC
Entity Type:Organization
Organization Name:SANTEMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OFFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DANAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-695-5500
Mailing Address - Street 1:200 SANDY SPRINGS PL
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3854
Mailing Address - Country:US
Mailing Address - Phone:404-255-9000
Mailing Address - Fax:800-814-3301
Practice Address - Street 1:200 SANDY SPRINGS PL
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3854
Practice Address - Country:US
Practice Address - Phone:404-255-9000
Practice Address - Fax:800-814-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty