Individual
BEVERLY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1502 W 3RD ST, JACKSON, GA 30233-1979
(770) 914-1808
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
(770) 955-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN207252
GA
Other
Enumeration date
06/15/2017
Last updated
08/16/2022
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