Individual
JOHN L SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
379 HOSPITAL BLVD, JACKSON, TN 38305
(731) 240-1777
(731) 427-9973
Mailing address
PO BOX 1446, DYERSBURG, TN 38025-1446
(731) 427-9971
(731) 427-9973
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD07991
TN
Other
Enumeration date
03/10/2006
Last updated
02/04/2019
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