Individual
DAVID JACKSON SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1932 ALCOA HWY BLDG C, KNOXVILLE, TN 37920-1527
(865) 524-1869
Mailing address
400 GOODYS LN, KNOXVILLE, TN 37922-1914
(865) 251-1800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5021
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2022
Last updated
12/31/2022
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