Shaw Family Medical, LLC
NPI #1750642633 in Shaw, Mississippi
Provider Information
- NPI Number
- 1750642633
- Entity Type
- Organization
- Organization Name
- Shaw Family Medical, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 6, 2012
- Last Updated
- Feb 22, 2017
Practice Location
- Address
- 112 W PEELER AVE
- City
- Shaw
- State
- Mississippi
- ZIP Code
- 38773-8710
- Phone
- (662) 754-3301
Authorized Official
- Name
- NORA GOUGH-DAVIS
- Title
- PARTNER
- Phone
- (662) 754-3301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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