Individual
MADISON SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 OLD GEORGETOWN RD, MOUNT PLEASANT, SC 29464-7307
(843) 936-3385
(843) 388-4868
Mailing address
1826 EGRET CREST LN, CHARLESTON, SC 29414-6071
(941) 787-4780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4730
SC
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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