Individual
DR. JOHN DAVID SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
293 OLMSTED BLVD, STE 7, PINEHURST, NC 28374-9023
(910) 295-3344
(910) 295-3165
Mailing address
293 OLMSTED BLVD STE 7, PINEHURST, NC 28374-9191
(910) 295-3344
(910) 295-3165
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200200451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89131C9
—
NC
Enumeration date
05/23/2005
Last updated
12/01/2009
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