Individual
DR. SANTA JOAN BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-5871
(252) 744-5759
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101049567
VA
2080P0203X
Pediatric Critical Care Medicine Physician
0101049567
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
01062804A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
2012-02313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017060070001
—
PA
05
—
1000035271
—
DE
05
—
1316925787
—
NC
05
—
150621800
—
MD
05
—
1802333000
—
WV
01
—
19AJ4
BCBS
NC
05
—
6722342
—
VA
01
—
NCM4000322
MEDICARE
NC
Enumeration date
01/05/2006
Last updated
06/22/2023
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