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1275900151
MARTHA SHEPARD
CHARLESTON, SC
NPI
1275900151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC TL2392)
Enumeration Date
2015-08-27
Last Update Date
2024-05-29
Business Address
MARTHA SHEPARD PA-C, ATC
2093 HENRY TECKLENBURG DR STE 200E
CHARLESTON, SC 29414-5742
Phone number: 843-958-2500
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Mailing Address
MARTHA SHEPARD PA-C, ATC
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 888-472-0043
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