Individual
MARTIN FENDER SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3871 SWEETEN CREEK RD STE B, ARDEN, NC 28704-3175
(828) 767-0252
Mailing address
3871 SWEETEN CREEK RD STE B, ARDEN, NC 28704-3175
(828) 767-0252
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3721048
NC ID
—
Enumeration date
03/04/2022
Last updated
03/04/2022
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