| Good Shepard Llc | |
|
632 Lakeland East Dr Flowood MS 39232-9565 | |
| (662) 694-0900 | |
| Not Available |
| Full Name | Good Shepard Llc |
|---|---|
| Speciality | General Practice |
| Location | 632 Lakeland East Dr, Flowood, Mississippi |
| Authorized Official Name and Position | Beth Martin (DIRECTOR) |
| Authorized Official Contact | 6019441717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepard Llc Po Box 321191 Flowood MS 39232-1191 Ph: () - | Good Shepard Llc 632 Lakeland East Dr Flowood MS 39232-9565 Ph: (662) 694-0900 |
| NPI Number | 1487260329 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487260329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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