Individual
MARY JANE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1070 HECKLE BLVD, 307, ROCK HILL, SC 29732-2853
(803) 909-7300
(803) 909-7397
Mailing address
1070 HECKLE BLVD, 307, ROCK HILL, SC 29732-2853
(803) 909-7300
(803) 909-7397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50478
SC
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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