Individual
DR. HAROLD E SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Mailing address
1 DOCTORS DR, GREENVILLE, SC 29605-4266
(864) 271-3354
(864) 250-6443
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
19545
NC
207W00000X
Ophthalmology Physician
Primary
8984
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1581706003
CIGNA PROVIDER NUMBER
SC
01
—
180018440
MEDICARE RAILROAD
SC
01
—
4328796
AETNA PROVIDER NUMBER
SC
05
—
89843
—
SC
Enumeration date
01/25/2006
Last updated
10/22/2007
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