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25D0933287 CLIA NUMBER - MARK D SHEPHERD DBA ENDOCRINOLOGY CONSULTANTS PLLC

Laboratory Demographics

CLIA Number: 25D0933287

Facility Name: MARK D SHEPHERD DBA ENDOCRINOLOGY CONSULTANTS PLLC

Facility Address:
670 CROSSOVER ROAD
TUPELO, MS
ZIP 38801
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Facility Phone Number: 662 844-8414

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1760499867

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 25D0933287
LAB Type Physician Office
Facility Name MARK D SHEPHERD DBA ENDOCRINOLOGY CONSULTANTS PLLC
Street 670 CROSSOVER ROAD
City TUPELO
State MS
ZIP 38801
Phone 662 844-8414
CertificateType 2
CertificateEffectiveDate 1/30/2024
CertificateExpirationDate 1/29/2026
FacilityType Compliance

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This page was last updated on: 4/23/2024