Frederick C. Shaw & Associates

NPI #1053820399 in Kennesaw, Georgia

Provider Information

NPI Number: 1053820399
Entity Type: Organization
Organization Name: Frederick C. Shaw & Associates
Primary Specialty: Optometrist
Enumeration Date: Sep 28, 2017
Last Updated: Sep 28, 2017

Practice Location

Address: 645 ERNEST W BARRETT PKWY NW
City: Kennesaw
State: Georgia
ZIP Code: 30144-4922
Phone: (770) 420-2268

Authorized Official

Name: MISS FREDA A THOMAS
Title: BILLING MANAGER
Phone: (770) 722-2344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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