Healthcare Provider Details

I. General information

NPI: 1275760092
Provider Name (Legal Business Name): SHEILA MARIE GARCIA-SANTANA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S SHARON AMITY RD STE 100
CHARLOTTE NC
28211-3870
US

IV. Provider business mailing address

PO BOX 3445
HICKORY NC
28603-3445
US

V. Phone/Fax

Practice location:
  • Phone: 704-365-0555
  • Fax: 704-367-8120
Mailing address:
  • Phone: 828-322-2050
  • Fax: 828-345-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number48185
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number48185
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number259127
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2020-00804
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: