Individual
EZEKIEL GRANT SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CORNERSTONE DR, CARY, NC 27519-8453
(919) 650-3660
Mailing address
178 KEITH WEATHERS RD, FUQUAY VARINA, NC 27526-7477
(336) 466-3201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
01/05/2022
Last updated
03/28/2023
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