Individual
MR. SHEPPARD ALLEN MCKENZIE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3805 COMPUTER DR, RALEIGH, NC 27609-6503
(919) 781-6200
(919) 783-1819
Mailing address
3805 COMPUTER DR, RALEIGH, NC 27609-6503
(919) 781-6200
(919) 783-1819
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
19373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8957115
—
NC
Enumeration date
08/12/2005
Last updated
07/22/2010
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