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1932802675
THOMAS MITCHELL SHEPHERD
AUGUSTA, GA
NPI
1932802675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA DN123216)
Enumeration Date
2023-03-22
Last Update Date
2023-11-02
Business Address
Dr. THOMAS MITCHELL SHEPHERD DMD
1120 15TH ST # GC5110
AUGUSTA, GA 30912-0004
Phone number: 706-721-2371
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Mailing Address
Dr. THOMAS MITCHELL SHEPHERD DMD
1120 15TH ST # GC5110
AUGUSTA, GA 30912-0004
Phone number:
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