Organization
MELISSA SHEPARD, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MONTJOY KEARSE (VICE PRESIDENT)
(704) 274-2219
Entity
Organization
Contact information
Practice address
65 DUKE ST STE 107, PRINCE FREDERICK, MD 20678-6128
(704) 274-2219
(704) 582-7160
Mailing address
4117 PARK RD # 12235, CHARLOTTE, NC 28209-2214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/21/2022
Last updated
03/22/2022
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