Individual
ALLEN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
416 E 36TH ST, STE 200, CHARLOTTE, NC 28205
(980) 302-9800
(980) 302-9810
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-00508
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2016
Last updated
10/27/2020
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