# DR. MARYANN CHRISTINE SHEPS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225106941
- **Gender:** F
- **Credential:** DC, PA-C,CPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 7169 | GA | Yes |
| 363A00000X | Physician Assistant | A453639 | CA | — |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 01/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4411-8578 | CERTIFIED PHLEBOTOMY TECHNICIAN 1 LICENSE CERTIFICATION BY THE NHA | CA |
| 01 | — | 7169 | GA PA LICENSE | GA |
| 01 | — | A453639 | LICENSE | CA |
| 01 | — | PA18073 | PA LICENSE 18073 | CA |