Shaw Family Medical, LLC
NPI #1043665532 in Drew, Mississippi
Provider Information
- NPI Number
- 1043665532
- Entity Type
- Organization
- Organization Name
- Shaw Family Medical, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHAW FAMILY MEDICAL, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 3, 2016
- Last Updated
- May 3, 2016
Practice Location
- Address
- 189 N MAIN ST
- City
- Drew
- State
- Mississippi
- ZIP Code
- 38737-3146
- Phone
- (662) 745-6638
Authorized Official
- Name
- NORA GOUGH-DAVIS, FNP
- Title
- OWNER
- Phone
- (662) 745-6638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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