Individual
MR. GERARD PATRICK SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5716 FAYETTEVILLE RD, DURHAM, NC 27713-9089
(919) 572-1868
Mailing address
7 SAXFORD PL, DURHAM, NC 27713-8185
(919) 806-3771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101463
NC
Other
Enumeration date
05/31/2006
Last updated
10/12/2007
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