Doctor Name: | DR. GREGORY SCOTT SHEPHERD |
NPI Number: | 1053685826 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CHIR008404 |
Business Practice Address: | 257 Lawrence St Ne #3353 Marietta, GA - 300612351 |
Business Phone Number: | 7705986857 |
Business Fax Number: | 6035906857 |
Mailing Address: | Po Box 3353, MARIETTA |
State: | GA |
Postal Code: | 300613353 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/26/2012 |
NPI Last Update Date: | 02/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIR008404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |