Individual
SHAMIKA DAWSON SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 EVANS ST STE 5, GREENVILLE, NC 27858-1832
(252) 751-6379
Mailing address
4063 KINGS CROSSROADS RD, GREENVILLE, NC 27834-7390
(252) 814-1003
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
09/24/2024
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