Organization
GOOD SHEPARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH MARTIN (DIRECTOR)
(601) 944-1717
Entity
Organization
Contact information
Practice address
632 LAKELAND EAST DR, FLOWOOD, MS 39232-9565
(662) 694-0900
Mailing address
PO BOX 321191, FLOWOOD, MS 39232-1191
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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