MARTHA SHUPING MD

WINSTON-SALEM, NC
NPI1639554819
Entity TypeOrganization
Authorized ContactPAULA WHITLEY
Credentialing Manager
704-699-8042
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
(Licence: NC  32172)
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
MARTHA SHUPING MD
2839 MAPLEWOOD AVE SUITE A
WINSTON-SALEM, NC 27103-4114
Phone number: 336-745-7344
Mailing Address
MARTHA SHUPING MD
PO BOX 25062
WINSTON SALEM, NC 27114-5062
Phone number: 336-745-7344