Individual
CAITLIN GOODMAN SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2810 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 860-6194
(336) 860-6236
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06583
NC
Other
Enumeration date
07/12/2016
Last updated
04/02/2024
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