Individual provider · Type 1 NPI

Renita Ta'sha Shaw, DPM

Foot Surgery Podiatrist · Wiggins, MS

NPI number 1376783324 Active

Practice location

1434 Central Ave E
Wiggins, MS 39577-9602

Call (601) 928-6700 Map

Fax (601) 928-6731

Mailing address

1434 E Central Ave., Stone County Hospital
Wiggins, MS 39503

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist Primary 213ES0131X80199 (MS)

Foot Surgery Podiatrist: Definition to come...

15 other providers at this address

About NPI 1376783324

Renita Ta'sha Shaw, DPM's National Provider Identifier is 1376783324, issued on Mar 4, 2009. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Wiggins, MS. The record was last updated on Jun 15, 2012.