Holly Shaw, PA-C

NPI #1982454971 in Middle River, Maryland

Provider Information

NPI Number: 1982454971
Entity Type: Individual
Name: Holly Shaw, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 25, 2024
Last Updated: Sep 17, 2024

Practice Location

Address: 4 OLIVIA CT
City: Middle River
State: Maryland
ZIP Code: 21220-1180
Phone: (443) 834-5452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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