Individual
AUSTIN BARRETT SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-0493
Mailing address
2501 CAPEHART RD, BELLEVUE, NE 68123
(210) 862-5094
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
12/30/2025
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