Individual
JOSEPH ALAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22454 US HIGHWAY 72 STE 330, ATHENS, AL 35613-2678
(256) 262-6380
(256) 262-6384
Mailing address
22454 US HIGHWAY 72 STE 330, ATHENS, AL 35613-2678
(256) 262-6380
(256) 262-6384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44078
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
05/05/2020
Last updated
10/14/2024
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