Organization · Type 2 NPI
Martha Shuping MD
Adult Mental Health Clinic/Center · Winston-Salem, NC
NPI number
1639554819
Active
Practice location
2839 Maplewood Ave, Suite A
Winston-Salem, NC 27103-4114
Fax (336) 768-1857
Mailing address
PO Box 25062
Winston Salem, NC 27114-5062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 32172 (NC) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Other adult mental health clinic/center providers in Winston-Salem
About NPI 1639554819
Martha Shuping MD's National Provider Identifier is 1639554819, issued on Jul 29, 2015. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 29, 2015.