Individual
JUSTIN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 S MAIN ST, RICH SQUARE, NC 27869
(252) 539-2082
Mailing address
200 S MAIN ST, RICH SQUARE, NC 27869-9582
(252) 539-2082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07726
NC
Other
Enumeration date
11/29/2017
Last updated
11/13/2018
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