Organization
SHEPHERD RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOODROW W SHEPHERD CEO (ADMINISTRATOR)
(706) 734-2003
Entity
Organization
Contact information
Practice address
701 ALLGOOD ST, TRION, GA 30753-1357
(706) 734-2003
(706) 734-2099
Mailing address
701 ALLGOOD ST, TRION, GA 30753-1357
(706) 734-2003
(706) 734-2099
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0234103
GA
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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