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Individual

JO ANN G. SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 271-4930
(336) 271-8466
Mailing address
PO BOX 13508, GREENSBORO, NC 27415-3508
(336) 271-4930
(336) 271-8466

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32287
NC

Other

Enumeration date
09/15/2005
Last updated
04/11/2008
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