Individual
DR. MELISSA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1243 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 855-8989
Mailing address
1243 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 855-8989
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013526
GA
Other
Enumeration date
07/24/2007
Last updated
05/20/2009
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