Everett Lee Shaw, PA-C
NPI #1437444163 in Decatur, Illinois
Provider Information
- NPI Number
- 1437444163
- Entity Type
- Individual
- Name
- Everett Lee Shaw, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 10, 2011
- Last Updated
- Jan 17, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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