Individual
JOHN M SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6807 KNIGHTDALE BLVD STE C, KNIGHTDALE, NC 27545-6563
(919) 217-5510
(919) 217-5501
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09364
NC
Other
Enumeration date
08/20/2019
Last updated
08/11/2025
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