Individual
MELANIE TOMEKO SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1619 CAROLINA AVE, ORANGEBURG, SC 29115-4939
(803) 531-7474
(803) 531-7457
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1727
SC
Other
Enumeration date
11/11/2011
Last updated
04/23/2013
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