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General NPI Number Information
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NPI Number | 1578653010
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Entity Type | Individual
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Provider Name | JOHN D SHEPPARD MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 1251 MCFARLAND BLVD NE
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2205
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Country | US
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Telephone | 205-349-2323
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Fax | 205-349-1155
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Provider Business Mailing Address
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Address Line | 1718 VETERANS MEMORIAL PKWY SUITE A
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City | TUSCALOOSA
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State | AL
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Zip | 35404-4791
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Country | US
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Telephone | 205-507-1100
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Fax | 205-553-3318
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.27322
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License Number State | AL
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