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Dr. John David Shepherd
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. John David Shepherd |
| Gender: | M |
| Provider License Number If Given: | 200200451 |
NPI Information:
| NPI: | 1225031271 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 12/1/2009 |
Provider Business Mailing Address:
| Address: | 293 OLMSTED BLVD STE 7 Pinehurst, NC 28374 |
| Phone Number: | 9102953344 |
| Fax Number: | 9102953165 |
Provider Business Practice Location Address:
| Address: | 293 OLMSTED BLVD STE 7 Pinehurst, NC 28374 |
| Phone Number: | 9102953344 |
| Fax Number: | 9102953165 |
Provider Taxonomy:
| Primary: | 207RN0300X |
| Secondary (if any): | |
| State: | NC |
