Individual
DR. JONATHAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7611 PINEVILLE MATTHEWS RD, CHARLOTTE, NC 28226-3909
(704) 542-0701
Mailing address
7611 PINEVILLE MATTHEWS RD, CHARLOTTE, NC 28226-3909
(704) 542-0701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24181
NC
Other
Enumeration date
06/19/2014
Last updated
08/04/2014
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