Individual
SANTACHIA RENEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 SAINT GEORGE SQUARE CT STE 300, WINSTON SALEM, NC 27103-1368
(336) 655-0560
(847) 574-0765
Mailing address
615 SAINT GEORGE SQUARE CT STE 300, WINSTON SALEM, NC 27103-1368
(336) 655-0560
(847) 574-0765
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
118096971
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91AE3
DLA CAGE CODE SAMS.GOV
NC
Enumeration date
06/01/2021
Last updated
06/01/2021
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