Individual
CHARLOTTE B SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
510 S WASHINGTON ST, BASTROP, LA 71220-5033
(318) 281-8110
(318) 281-8099
Mailing address
510 S WASHINGTON ST, BASTROP, LA 71220-5033
(318) 281-8110
(318) 281-8099
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA200515
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2316729
—
LA
01
—
PA200515
PA-C
LA
Enumeration date
02/01/2012
Last updated
07/01/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us