Individual
MRS. MICHELLE ELIZABETH SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-AA
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-3000
Mailing address
395 KATHERINE DR, JEFFERSON, GA 30549-2101
(678) 897-1921
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
987654321
GA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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