Individual
MARTHA JANE SOHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-7994
Mailing address
1 MEDICAL CENTER BOULEVARD, THE EYE CENTER JANEWAY TOWER 6TH FLOOR, WINSTON-SALEM, NC 27157-0001
(336) 716-4091
(336) 716-7994
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561274347
CKA'S TAX ID#
NC
01
—
9674098
AETNA
—
01
—
B1893
MEDCOST
—
Enumeration date
05/26/2006
Last updated
10/01/2021
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