Organization
GEORGE JAMES SHEPPARD III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JAMES SHEPPARD III (OWNER)
(910) 762-2809
Entity
Organization
Contact information
Practice address
1307 MEDICAL CENTER DR, WILMINGTON, NC 28401-7502
(910) 762-2809
Mailing address
1307 MEDICAL CENTER DR, WILMINGTON, NC 28401-7502
(910) 762-2809
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
09/24/2018
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