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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SANTOS EFRAIN ORTIZ

Active Sole Proprietor

Bus · DOUGLASVILLE, GA

Registration Details

NPI Number
1720353642
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2012 (14.120956417934 yrs)
Last Updated
Mar 9, 2012
Licenses
45-4325039 (GA)
45-4325039 (GA)
45-4325039 (GA)
Sole Proprietor
Yes

Practice Information

Address
4761 PAULINE RD
DOUGLASVILLE, GA, 301354575
Browse GA providers · Browse ZIP 30135
Phone
6785310618
Primary Specialty
Bus
343900000X
Additional Specialty
Bus

Other Bus Providers in DOUGLASVILLE, GA

Name Credential NPI
TAJMAH POINTER 1053749655
DERRICK AND KELMEKA LOCKETT 1316334451
PRISCILLA MARK-WILSON 1699337717
KATRINA RODNEY 1952942732
CARLTON ERIC MOORE 1598470304
SHAWN PERKINS 1194549568
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.