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Organization

GOOD SHEPARD LLC

Active
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Organization

GOOD SHEPARD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETH MARTIN (DIRECTOR)
(601) 944-1717
Entity
Organization

Contact information

Practice address
632 LAKELAND EAST DR, FLOWOOD, MS 39232-9565
(662) 694-0900
Mailing address
PO BOX 321191, FLOWOOD, MS 39232-1191

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—

Other

Enumeration date
09/16/2020
Last updated
09/16/2020
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