Individual
RENEE ELIZABETH SHEPHERD-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
14 DOCTORS CIR STE 2, SUPPLY, NC 28462-4088
(107) 556-5129
(910) 755-6548
Mailing address
14 DOCTORS CIR STE 2, SUPPLY, NC 28462-4088
(107) 556-5129
(910) 755-6548
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301338
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5569
CA
390200000X
Student in an Organized Health Care Education/Training Program
SC006766
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E5569
LICENSE
CA
Enumeration date
07/05/2016
Last updated
02/23/2026
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