Individual
HEATHER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9801056
NC
207RX0202X
Medical Oncology Physician
98-01056
NC
2083P0901X
Public Health & General Preventive Medicine Physician
9801056
NC
208M00000X
Hospitalist Physician
Primary
98-01056
NC
Other
Enumeration date
01/09/2007
Last updated
07/28/2014
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