Individual
MR. STEPHEN O SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4203 CLOUD SPRINGS RD, RINGGOLD, GA 30736
(706) 891-2008
(706) 820-6756
Mailing address
4203 CLOUD SPRINGS RD, RINGGOLD, GA 30736
(706) 891-2008
(706) 820-6756
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9043
TN
1223G0001X
General Practice Dentistry
Primary
DN012825
GA
Other
Enumeration date
06/04/2007
Last updated
05/11/2012
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