Organization
SHEPARD HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ROTH (PRESIDENT)
(770) 558-3393
Entity
Organization
Contact information
Practice address
8601 DUNWOODY PL STE 338, SANDY SPRINGS, GA 30350-2522
(770) 558-3393
(678) 691-2292
Mailing address
8601 DUNWOODY PL STE 338, SANDY SPRINGS, GA 30350-2522
(770) 558-3393
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003259115A
—
GA
05
—
1295323053
—
TX
Enumeration date
01/07/2021
Last updated
04/06/2026
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