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Individual

MARIAH ALICE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
900 RIO EAST CT # A, CHARLOTTESVILLE, VA 22901-8040
(434) 975-7777
Mailing address
900 RIO EAST CT # A, CHARLOTTESVILLE, VA 22901-8040
(434) 975-7777

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101285081
VA
208000000X
Pediatrics Physician
Primary
MD480524
PA

Other

Enumeration date
04/28/2020
Last updated
08/05/2026
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