Shelly F Shaw, O.D.

NPI #1093742256 in Greeneville, Tennessee

Provider Information

NPI Number: 1093742256
Entity Type: Individual
Name: Shelly F Shaw, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 TUSCULUM BLVD
Address 2: SUITE 4
City: Greeneville
State: Tennessee
ZIP Code: 37745-4056
Phone: (423) 639-8128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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