Individual
JOE A SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129
(161) 589-3448
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 893-4480
(615) 895-6212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
499
TN
Other
Enumeration date
02/02/2007
Last updated
06/26/2020
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