Shepard, Gerald
Shepard, Gerald is an individual health care provider with primary practice located at 180 Water Oak Dr , Cedartown GA 30125-2095. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shepard, Gerald can be contacted via phone (770) 748-2225.Contact Information
Primary practice address
180 Water Oak Dr
Cedartown GA 30125-2095
Phone: (770) 748-2225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3114 | Georgia |
Profile Details
| NPI number | 1184099947 |
|---|---|
| LBN Legal business name | Shepard, Gerald |
| Credentials | CACI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2015 |
| Last updated | Dec 4th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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