Desantis, James M

Desantis, James M is an individual health care provider with primary practice located at 400 Westpark Ct Ste 230, Peachtree City GA 30269-3571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Desantis, James M can be contacted via phone (770) 631-8478.

Contact Information

Primary practice address
400 Westpark Ct Ste 230 Peachtree City GA 30269-3571
Phone: (770) 631-8478
Fax: (770) 631-8473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25650 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD027124E Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X P1452 Texas

Profile Details

NPI number 1659326650
LBN Legal business name Desantis, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 19th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659326650 NPPES
Alabama Other 4295661 AETNA
Alabama Other 10577706 AETNA
Alabama MEDICAID 009912277 AETNA
Alabama Other 051542232 AETNA

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