Provider Demographics
NPI:1720950017
Name:SANTA, ROBERTO I (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:I
Last Name:SANTA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1194 TOWNSHIP PL APT 202
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-1569
Mailing Address - Country:US
Mailing Address - Phone:706-459-9456
Mailing Address - Fax:706-229-0012
Practice Address - Street 1:468 HIGHWAY 53 E STE 140
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-3055
Practice Address - Country:US
Practice Address - Phone:706-459-9456
Practice Address - Fax:706-229-0012
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR066559111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor