Individual
DR. ROBERT D SHEDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
318 WESTGATE PKWY, SUITE 2, DOTHAN, AL 36303-2963
(334) 702-9445
(334) 702-9465
Mailing address
318 WESTGATE PKWY, SUITE 2, DOTHAN, AL 36303-2963
(334) 702-9445
(334) 702-9465
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
D0118
AL
208100000X
Physical Medicine & Rehabilitation Physician
D0118
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22334
GEORGIA STATE LICENSE
GA
01
—
D0118
ALABAMA LICENSE NUMBER
AL
Enumeration date
04/17/2006
Last updated
03/22/2013
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