Individual
MARTHA LYNNE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 SHEPHERD ST, WINSTON SALEM, NC 27103-1633
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33981
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67442
BCBS
—
05
—
8967442
—
NC
Enumeration date
10/23/2006
Last updated
01/11/2012
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