Individual
DR. WILLIAM MACON SHEPPARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 PRIDES XING STE 200, NEWARK, DE 19713-6109
(302) 998-0300
(302) 998-5111
Mailing address
700 PRIDES XING STE 200, NEWARK, DE 19713-6109
(302) 998-0300
(302) 543-8456
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
CI0006510
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000015809
—
DE
Enumeration date
06/16/2006
Last updated
08/10/2020
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