Individual
DR. DENISE RIDDLE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1011 PROFESSIONAL BLVD, DALTON, GA 30720-2506
(706) 226-4623
Mailing address
1011 PROFESSIONAL BLVD, DALTON, GA 30720-2506
(706) 226-4623
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD001361
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD0001361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000395381A
—
GA
05
—
000395381B
—
GA
Enumeration date
06/14/2006
Last updated
06/20/2012
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