Organization
FREDERICK C. SHAW & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FREDA A THOMAS (BILLING MANAGER)
(770) 722-2344
Entity
Organization
Contact information
Practice address
645 ERNEST W BARRETT PKWY NW, KENNESAW, GA 30144-4922
(770) 420-2268
(770) 825-9200
Mailing address
645 ERNEST W BARRETT PKWY NW, KENNESAW, GA 30144-4922
(770) 420-2268
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1535
GA
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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