Individual provider · Type 1 NPI

Dalton Garrett Shaw, MD

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1285486597 Active

Practice location

1920 W 1st St Fl 3
Winston Salem, NC 27104-4220

Call (336) 716-4479 Map

Mailing address

7600 State Highway 16
Sparta, WI 54656-4209

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285486597

Dalton Garrett Shaw, MD's National Provider Identifier is 1285486597, issued on Apr 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 2, 2024.