Individual
RYAN ANDREW SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2200 MEDICAL CENTER BLVD STE 350, LAWRENCEVILLE, GA 30046-7768
(678) 312-2700
(678) 312-2730
Mailing address
2200 MEDICAL CENTER BLVD STE 350, LAWRENCEVILLE, GA 30046-7768
(678) 312-2700
(678) 312-2730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12230
GA
Other
Enumeration date
09/23/2014
Last updated
03/22/2024
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