Individual
SAMANTHA VM SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-4333
(910) 353-2108
Mailing address
245 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-4333
(910) 353-2108
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
2025-00704
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2020
Last updated
08/11/2025
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