Individual
DR. JOHN D SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1251 MCFARLAND BLVD NE, TUSCALOOSA, AL 35406-2205
(205) 349-2323
(205) 349-1155
Mailing address
1718 VETERANS MEMORIAL PKWY, SUITE A, TUSCALOOSA, AL 35404-4791
(205) 507-1100
(205) 553-3318
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.27322
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066796
—
LA
05
—
127467
—
AL
01
—
511-15303
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/13/2006
Last updated
01/05/2015
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