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Individual

DR. JOSEPH ANDREW SHEPPE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1333 TAYLOR ST, SUITE 4A, COLUMBIA, SC 29201-2923
(803) 779-5600
(803) 771-4081
Mailing address
204 LEANING TREE RD, COLUMBIA, SC 29223-3009
(803) 736-4207

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12393
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123930
SC
Enumeration date
01/18/2006
Last updated
07/08/2007
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