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Individual

TARA SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022025493
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
103288
GA

Other

Enumeration date
03/31/2019
Last updated
02/24/2025
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