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1952353781
JACK P. SHEPHERD
CHARLOTTE, NC
NPI
1952353781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200201174)
Enumeration Date
2006-05-17
Last Update Date
2021-08-19
Business Address
JACK P. SHEPHERD MD
330 BILLINGSLEY RD STE 101
CHARLOTTE, NC 28211-5020
Phone number: 704-316-2333
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Mailing Address
JACK P. SHEPHERD MD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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