# LAFAYETTE FAMILY PRACTICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508058066
- **Authorized official:** DR. GEORGE PAUL SHAW JR. M.D (DOCTOR)
- **Authorized official phone:** (706) 638-5300

## Contact information

- **Practice address:** 611 N MAIN ST, LA FAYETTE, GA 30728-2241
- **Practice address phone:** (706) 638-5300
- **Practice address fax:** (706) 638-5323
- **Mailing address:** 611 N MAIN ST, LA FAYETTE, GA 30728-2241
- **Mailing address phone:** (706) 638-5300
- **Mailing address fax:** (706) 638-5323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22056 | GA | Yes |

## Other

- **Enumeration date:** 08/17/2007
- **Last updated:** 10/04/2007