Individual
MARTHA JO DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3813
(336) 716-5074
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-6099
(336) 716-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201938
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005499
—
NC
Enumeration date
01/18/2006
Last updated
12/20/2018
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