Individual
ALEXANDRA ANNE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 GARDEN WALK, BREMEN, GA 30110-2451
(770) 840-5199
Mailing address
109 GARDEN WALK, BREMEN, GA 30110-2451
(770) 840-5199
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XKL950W15960
BCBS
GA
Enumeration date
03/03/2023
Last updated
03/03/2023
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