Organization
DENISE Q SHEPARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY K HOUSLEY (OFFICE)
(706) 861-7166
Entity
Organization
Contact information
Practice address
1895 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4021
(706) 861-7166
(706) 861-1799
Mailing address
1895 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4021
(706) 861-7166
(706) 861-1799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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