Individual
DR. MARTHA WOODHAMS SHUPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 HIGHLAND AVE, WINSTON SALEM, NC 27101-4206
(336) 607-8523
(336) 748-5438
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32172
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902384
—
NC
Enumeration date
07/31/2006
Last updated
03/07/2023
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