Individual
MR. JOSHUA WAYNE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
165 WESTMORELAND ST, HARROGATE, TN 37752-8202
(423) 869-7193
(423) 869-7195
Mailing address
165 WESTMORELAND ST, HARROGATE, TN 37752-8202
(423) 869-7193
(423) 869-7195
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2060
TN
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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