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NPI Code Detail

MEDICARE: MRS. MARTHA RENEE SHROPSHIRE MA, CCC-SLP

MEDICARE:  MRS. MARTHA RENEE SHROPSHIRE  MA, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2202001953VA
2235Z00000XSpeech-Language Pathologist4034NC

General Provider Information

NPI Number : 1588773618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARTHA RENEE SHROPSHIRE MA, CCC-SLP
Provider Business Mailing Address
First Line : 2500 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4314
Country : US
Telephone Number : 336-375-2240
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4314
Country : US
Telephone Number : 336-375-2240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/30/2007

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Directions to “ MRS. MARTHA RENEE SHROPSHIRE MA, CCC-SLP” Practice Location

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