Individual provider · Type 1 NPI

Jessie C. Santiago Jr., PA C

Medical Physician Assistant · Beaufort, SC

NPI number 1003890591 Active

Practice location

1 Pinckney Blvd, Attn Professional Affairs Coordinator
Beaufort, SC 29902-6148

Call (843) 228-5577 Map

Fax (843) 228-5196

Mailing address

PO Box 6216A, 1 Pinckney Blvd Attn Professional Affairs Coordinator
Beaufort, SC 29902-6148

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1041578 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1003890591

Jessie C. Santiago Jr., PA C's National Provider Identifier is 1003890591, issued on Nov 30, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beaufort, SC. The record was last updated on Jul 13, 2026.