Carter Joe Shaw

NPI #1891505285 in Bicknell, Indiana

Provider Information

NPI Number: 1891505285
Entity Type: Individual
Name: Carter Joe Shaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 8, 2025
Last Updated: Jan 8, 2025

Practice Location

Address: 10201 N PINE BLUFF DR
City: Bicknell
State: Indiana
ZIP Code: 47512-8244
Phone: (812) 910-0673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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