Individual
DR. DENISE Q. SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1895 BATTLEFIELD PKWY, FT OGLETHORPE, GA 30742-4021
(706) 861-7166
(706) 861-1799
Mailing address
1895 BATTLEFIELD PKWY, FT OGLETHORPE, GA 30742-4021
(706) 861-7166
(706) 861-1799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
735
TN
152W00000X
Optometrist
Primary
893
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000173788
—
TN
05
—
00394677A
—
GA
Enumeration date
06/23/2006
Last updated
02/17/2009
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