Individual
DR. NATHAN DANIEL SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2152 OLD SPRINGVILLE RD, BIRMINGHAM, AL 35215-4005
(205) 838-6000
(205) 838-6999
Mailing address
2152 OLD SPRINGVILLE RD, BIRMINGHAM, AL 35215-4005
(205) 838-6000
(205) 838-6999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47932
CO
207Q00000X
Family Medicine Physician
6934
AK
207Q00000X
Family Medicine Physician
Primary
MD.28475
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36873721
—
CO
Enumeration date
04/23/2008
Last updated
11/09/2010
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