Organization
MOUNT PLEASANT NEPHROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M SHEPARD MD (PHYSICIAN)
(843) 637-0525
Entity
Organization
Contact information
Practice address
900 BOWMAN RD, SUITE A-1, MT PLEASANT, SC 29464-3203
(843) 637-0525
Mailing address
900 BOWMAN RD, SUITE 101, MT PLEASANT, SC 29464-3203
(843) 637-0525
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23565
SC
Other
Enumeration date
11/11/2013
Last updated
04/10/2014
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