person
Dr. Renita Ta'sha Shaw, DPM
Foot Surgery Podiatrist in Wiggins, Mississippi
NPI 1376783324

Renita Ta'sha Shaw is a Foot Surgery Podiatrist based in Wiggins, MS and is specialized in Foot Surgery. Renita Ta'sha Shaw practices in Wiggins, MS and has the professional credentials of DPM. The NPI Number for Renita Ta'sha Shaw is 1376783324 and holds a License No. 80199 (Mississippi).

The current practice location address for Renita Ta'sha Shaw is 1434 Central Ave E, Wiggins, MS and can be reached out via phone at 601-928-6700 and via fax at 601-928-6731.

Location: 1434 Central Ave E, Wiggins, MS, 39503
person
Provider Profile Details
NPI Number
1376783324
Provider Name
Renita Ta'sha Shaw
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1434 Central Ave E, Wiggins, MS, 39503
Phone Number
601-928-6700
Fax Number
601-928-6731
Provider Enumeration Date
03/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1434 Central Ave E
City
State
Zip
39577-9602
Phone Number
601-928-6700
Fax Number
601-928-6731
person
Provider Business Mailing Address Details
Address
1434 Central Ave E
City
State
Zip
39577-9602
Phone Number
601-928-6700
Fax Number
601-928-6731
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
80199 (Mississippi)
Definition
Definition to come...
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