Shaw Community Care Clinic
NPI #1194854208 in Shaw, Mississippi
Provider Information
- NPI Number
- 1194854208
- Entity Type
- Organization
- Organization Name
- Shaw Community Care Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 112 PEELER AVE
- City
- Shaw
- State
- Mississippi
- ZIP Code
- 38773
- Phone
- (662) 754-2060
Authorized Official
- Name
- MRS. KARLA LEE GRAVES
- Title
- ADMINISTRATOR
- Phone
- (662) 332-8848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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