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Individual

GEORGE M SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRIMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35233
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
12060
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000014745
BLUE CROSS
AL
01
051513422
BLUE CROSS
AL
01
110016416
RAILROAD MEDICARE
AL
01
3771
FLORIDA MEDICAID
FL
01
C74069
VIVA
AL
Enumeration date
07/17/2006
Last updated
06/14/2011
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