Individual
JIM SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
702 HIGHWAY 82 W STE B, GREENWOOD, MS 38930-5069
(662) 455-5010
(662) 455-5468
Mailing address
702 HIGHWAY 82 W STE B, GREENWOOD, MS 38930-5069
(662) 455-5010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5409
MS
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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