Individual
SUMMER SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 E 23RD ST, PANAMA CITY, FL 32405-5307
(850) 747-8822
Mailing address
2208 HAMMOCK SQUARE DR UNIT 202, LYNN HAVEN, FL 32444-7614
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT 80202
FL
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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