Individual
ALEXANDRA GILMORE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 MILLER ST STE G, WINSTON SALEM, NC 27104-4206
(336) 718-1000
(336) 718-1065
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07105
NC
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/18/2016
Last updated
01/16/2024
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