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Shaw Family Medical, Llc
Family Nurse Practitioner in Drew, Mississippi
NPI 1043665532

Shaw Family Medical, Llc is a Family Nurse Practitioner based in Drew, MS and is specialized in Family. Shaw Family Medical, Llc practices in Drew, MS. The NPI Number for Shaw Family Medical, Llc is 1043665532 and holds a License No. R872155 (Mississippi).

The current practice location address for Shaw Family Medical, Llc is 189 N Main St, Drew, MS and can be reached out via phone at 662-745-6638 and via fax at 662-745-8480.

Location: 189 N Main St, Drew, MS, 38737-0068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043665532
Provider Name
Shaw Family Medical, Llc
Credential
Provider Entity Type
Organization
Address
189 N Main St, Drew, MS, 38737-0068
Phone Number
662-745-6638
Fax Number
662-745-8480
Provider Enumeration Date
05/03/2016
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
04406222 05 MS
institution
Provider Business Practice Location Address Details
Address
189 N Main St
City
Drew
State
Mississippi
Zip
38737-3146
Phone Number
662-745-6638
Fax Number
662-745-8480
person
Provider Business Mailing Address Details
Address
189 N Main St
City
Drew
State
Mississippi
Zip
38737-3146
Phone Number
662-745-6638
Fax Number
662-745-8480
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R872155 (Mississippi)
Definition
Definition to come...
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