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Individual
CHRISTOPHER N SHAW
Active
Individual
CHRISTOPHER N SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17539
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173608
—
SC
01
—
890609E
NC MEDICAID
NC
Enumeration date
02/07/2006
Last updated
03/25/2009
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