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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

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