Individual
CHARIS D SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2327 N HIGHWAY 27, CARROLLTON, GA 30117-6701
(770) 834-4404
Mailing address
9975 NEUCHATEL CRES, JONESBORO, GA 30238-6596
(770) 899-4092
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002282
GA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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