person
Charlotte B Shaw, PA-C
Medical Physician Assistant in Bastrop, Louisiana
NPI 1316219751

Charlotte B Shaw is a Medical Physician Assistant based in Bastrop, LA and is specialized in Medical. Charlotte B Shaw practices in Bastrop, LA and has the professional credentials of PA-C. The NPI Number for Charlotte B Shaw is 1316219751 and holds a License No. PA200515 (Louisiana).

The current practice location address for Charlotte B Shaw is 510 S Washington St, Bastrop, LA and can be reached out via phone at 318-281-8110 and via fax at 318-281-8099. You can also correspond with Charlotte B Shaw through the mailing address at 510 S WASHINGTON ST, BASTROP, LA - 71220-5033 (mailing address contact number: 318-281-8110).

Location: 510 S Washington St, Bastrop, LA, 71220-5033
person
Provider Profile Details
NPI Number
1316219751
Provider Name
Charlotte B Shaw
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
510 S Washington St, Bastrop, LA, 71220-5033
Phone Number
318-281-8110
Fax Number
318-281-8099
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA200515 01 LA PA-C
2316729 05 LA
institution
Provider Business Practice Location Address Details
Address
510 S Washington St
City
State
Zip
71220-5033
Phone Number
318-281-8110
Fax Number
318-281-8099
person
Provider Business Mailing Address Details
Address
510 S Washington St
City
State
Zip
71220-5033
Phone Number
318-281-8110
Fax Number
318-281-8099
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA200515 (Louisiana)
Definition
Definition to come...
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