Individual provider · Type 1 NPI

Jerry Emerson Shaw, PA-C

Surgical Physician Assistant · Memphis, TN

NPI number 1265619118 Active

Practice location

3980 New Covington Pike Ste 200
Memphis, TN 38128-2514

Call (901) 937-3232 Map

Fax (901) 373-0804

Mailing address

5705 Stage Rd, Ste 240
Bartlett, TN 38134-4541

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X815 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1265619118

Jerry Emerson Shaw, PA-C's National Provider Identifier is 1265619118, issued on Jan 23, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Memphis, TN. The record was last updated on Sep 1, 2009.