DR. Renita Ta'sha Shaw, DPM
NPI #1376783324 in Wiggins, Mississippi
Provider Information
- NPI Number
- 1376783324
- Entity Type
- Individual
- Name
- DR. Renita Ta'sha Shaw, DPM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Podiatrist - Foot Surgery
- Credential
- DPM
- Enumeration Date
- Mar 4, 2009
- Last Updated
- Jun 15, 2012
Practice Location
- Address
- 1434 CENTRAL AVE E
- City
- Wiggins
- State
- Mississippi
- ZIP Code
- 39577-9602
- Phone
- (601) 928-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot Surgery — Foot Surgery |
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