Organization · Type 2 NPI
Shaw Family Medical, LLC
Clinic/Center · Shaw, MS
NPI number
1750642633
Active
Practice location
112 W Peeler Ave
Shaw, MS 38773-8710
Fax (662) 754-3304
Mailing address
PO Box 299
Shaw, MS 38773-0299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7 other providers at this address
- Clifton Dewayne ReedFamily Nurse Practitioner Shaw, MS NPI 1912480328
- Kim Davis, NPFamily Medicine Physician Shaw, MS NPI 1861150401
- Kimberly Robinson, FNP-CPrimary Care Nurse Practitioner Shaw, MS NPI 1124902432
- Nora Cecelia Gough-Davis, FNPFamily Nurse Practitioner Shaw, MS NPI 1740410661
- Regina Jonelle Evans, FNPFamily Nurse Practitioner Shaw, MS NPI 1609416544
- Teresa Wilson, NPAdult Health Nurse Practitioner Shaw, MS NPI 1023507456
- Willie Mary BoldenFamily Nurse Practitioner Shaw, MS NPI 1518428283
Other clinic/center providers in Shaw
About NPI 1750642633
Shaw Family Medical, LLC's National Provider Identifier is 1750642633, issued on Jun 6, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Shaw, MS. The record was last updated on Feb 22, 2017.