SearchGeorgia101YA0400X

Gerald Shepard, CACI

NPI 1184099947 · on the registry since 2015

Practice

Address
180 Water Oak Dr
Cedartown, GA 30125
Phone
(770) 748-2225
Organisation at this address
Highland Rivers Csb
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia