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Individual

JAMES ROBERT SHAW

Active
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Individual

JAMES ROBERT SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35197
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-70577
UNITED HEALTHCARE
NC
01
—
0637660001
PALMETTO GOVERNMENT SERVI
NC
01
—
080084314
RAILROAD MEDICARE
NC
01
—
213592C
MEDICARE PTAN
NC
01
—
561852981F
CIGNA
NC
01
—
75523
BLUE CROSS BLUE SHIELD
NC
05
—
8975523
—
NC
01
—
NCM996A
MEDICARE PTAN
NC
01
—
NCM996B
MEDICARE PTAN
NC
01
—
NCM996C
MEDICARE PTAN
NC
Enumeration date
09/29/2006
Last updated
02/09/2022
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