Shepherd Resources
Organization Active NPI Clinic/Center · Trion, GA
NPI 1134490048 · NPPES record last updated Jan 24, 2012
Key facts
- NPI
- 1134490048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 0234103 (GA)
- Legal business name
- SHEPHERD RESOURCES
- Practice address
- 701 Allgood St
Trion, GA 30753-1357 - Phone
- (706) 734-2003
- Fax
- (706) 734-2099
- NPI assigned
- Jan 24, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Woodrow W Shepherd, CEO
- Title
- Administrator
- Phone
- (706) 734-2003
Practitioners 10
-
David H. Lynch, D.O.
-
Ronald D Patrick, M.D.
-
Robyn Lee Shepherd, ANP, CNS/PMH
-
Kimberly Vaughn, FNP-C
-
William L Byers, PA C
-
Samir Joglekar, MD
-
Melchor L. Ong, MD
National Provider Directory
Locations
701 Allgood St
Trion, GA 30753
Phone (706) 734-2003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0234103 | GA | Yes |
Addresses
Primary practice location
701 Allgood St
Trion, GA 30753-1357
Mailing address
701 Allgood St
Trion, GA 30753-1357
Phone (706) 734-2003
Other providers in Trion, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.