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NPI Profile for RACHELLE SHEPARD in COLUMBIA, SC.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice |
| NPI Number | 1164995346 |
|
| Status | Active | |
| Credentials | APRN, AGNP | |
| Entity | Individual | |
| Enumeration date | 01/10/2019 | |
| Last updated | 06/13/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RACHELLE SHEPARD
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RACHELLE SHEPARD, APRN, AGNP