Individual
NICOLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1890 AL HIGHWAY 157 STE 300, CULLMAN, AL 35058-0689
(256) 737-8051
(256) 737-8059
Mailing address
1890 AL HIGHWAY 157 STE 300, CULLMAN, AL 35058-0689
(256) 737-8051
(256) 737-8059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33974
AL
Other
Enumeration date
05/07/2013
Last updated
01/05/2017
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