Basic Information
| Provider Information | |||||||||
| NPI: | 1285079723 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORALES-SANTIAGO | ||||||||
| FirstName: | ANGEL | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | EMORY UNIVERSITY SCHOOL OF MEDICINE | ||||||||
| Address2: | 615 MICHAEL STREET, SUITE 201 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047275596 | ||||||||
| FaxNumber: | 4047275767 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 MEDICAL WAY STE 270 | ||||||||
| Address2: | |||||||||
| City: | SNELLVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300782209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709724780 | ||||||||
| FaxNumber: | 7709722371 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2013 | ||||||||
| LastUpdateDate: | 07/08/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 18841 | PR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | 18841 | PR | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RG0100X | 86159 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.