Individual
MARY C SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4913 PROFESSIONAL CT, RALEIGH, NC 27609-4913
(252) 244-2388
(252) 244-0088
Mailing address
4913 PROFESSIONAL CT, RALEIGH, NC 27609-4913
(252) 244-2388
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC3278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418073
—
NC
05
—
6601442
—
NC
Enumeration date
05/16/2011
Last updated
05/16/2011
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