Individual
CALONDRA YVETTE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6883
(803) 434-8450
(803) 434-0137
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04698
NC
363A00000X
Physician Assistant
Primary
1781
SC
Other
Enumeration date
03/21/2012
Last updated
10/04/2024
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