MR. Jerry Emerson Shaw, PA-C

NPI #1265619118 in Memphis, Tennessee

Provider Information

NPI Number
1265619118
Entity Type
Individual
Name
MR. Jerry Emerson Shaw, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Jan 23, 2008
Last Updated
Sep 1, 2009

Practice Location

Address
3980 NEW COVINGTON PIKE STE 200
ZIP Code
38128-2514
Phone
(901) 937-3232

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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