Individual
DR. SAMUEL SANTANDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3621 RANDOLPH ROAD, SUITE 100, CHARLOTTE, NC 28211
(704) 332-9365
(704) 364-7384
Mailing address
PO BOX 1070, CHRISTENBURY EYE CENTER, CHARLOTTE, NC 28201-1070
(704) 332-9365
(704) 364-7384
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9800380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1109W
BCBS/NC
NC
01
—
7085246
AETNA
NC
05
—
8922463
—
NC
05
—
N00380
—
NC
Enumeration date
12/13/2005
Last updated
07/09/2007
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