Individual
STEPHANIE KING SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
810 W SOUTH 4TH ST, SENECA, SC 29678-3324
(864) 886-4455
Mailing address
810 W SOUTH 4TH ST, SENECA, SC 29678-3324
(864) 886-4455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
12/03/2015
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