person
Marc R Shaw, PA
Medical Physician Assistant in Columbus, Georgia
NPI 1477752863

Marc R Shaw is a Medical Physician Assistant based in Columbus, GA and is specialized in Medical. Marc R Shaw practices in Columbus, GA and has the professional credentials of PA. The NPI Number for Marc R Shaw is 1477752863 and holds a License No. 005119 (Georgia).

The current practice location address for Marc R Shaw is 2122 Manchester Expressway, Columbus, GA and can be reached out via phone at 706-320-2773 and via fax at 706-596-4226.

Location: 2122 Manchester Expressway, Columbus, GA, 31908-8147
person
Provider Profile Details
NPI Number
1477752863
Provider Name
Marc R Shaw
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2122 Manchester Expressway, Columbus, GA, 31908-8147
Phone Number
706-320-2773
Fax Number
706-596-4226
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
353912753 05 GA
126321 05 AL
institution
Provider Business Practice Location Address Details
Address
2122 Manchester Expressway
City
State
Zip
31904
Phone Number
706-320-2773
Fax Number
706-596-4226
person
Provider Business Mailing Address Details
Address
2122 Manchester Expressway
City
State
Zip
31904
Phone Number
706-320-2773
Fax Number
706-596-4226
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
005119 (Georgia)
Definition
Definition to come...
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