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Individual

ROBYN LEE SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP, CNS/PMH

Contact information

Practice address
701 ALLGOOD ST, TRION, GA 30753-1357
(706) 734-2003
(706) 734-2099
Mailing address
701 ALLGOOD ST, PO BOX 880, TRION, GA 30753-1357
(706) 734-2003
(706) 734-2099

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN046097
GA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
RN046097
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00548182C
GA
Enumeration date
03/27/2006
Last updated
12/22/2009
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