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Organization

MARK DEVIN SHEPHERD

Active
Other names
Endocrinology Consultants, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK D SHEPHERD M.D. (DIRECTOR)
(662) 844-8414
Entity
Organization

Contact information

Practice address
670 CROSSOVER RD, TUPELO, MS 38801-4944
(662) 844-8414
(662) 844-8275
Mailing address
PO BOX 4087, TUPELO, MS 38803-4087
(662) 844-8414
(662) 844-8275

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09778731
MS
01
CH0754
RAILROAD MEDICARE GROUP #
MS
Enumeration date
08/01/2006
Last updated
11/28/2007
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