Organization
MCLEAN SHEPERD, MD, LLC
Active
Parent organization
MCLEAN SHEPERD, MD, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEAN SHEPERD, MD, LLC
Authorized official
MCLEAN SHEPERD M.D. (OWNER)
(843) 216-3530
Entity
Organization
Contact information
Practice address
852 LOWCOUNTRY BLVD, SUITE 102, MOUNT PLEASANT, SC 29464-3067
(843) 216-3530
(843) 654-9122
Mailing address
852 LOWCOUNTRY BLVD, SUITE 102, MOUNT PLEASANT, SC 29464-3067
(843) 216-3530
(843) 654-9122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18640
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186408
—
SC
Enumeration date
01/10/2007
Last updated
10/04/2011
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