Individual
JAMES S SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1344 HAILE ST, CAMDEN, SC 29020-3076
(803) 432-1996
(803) 424-2703
Mailing address
PO BOX 1259, SENTINEL HEALTH PARTNERS PA BUSINESS OFFICE, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-8433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6124
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061248
—
SC
01
—
30623
MEDCOST PIN
—
Enumeration date
05/16/2006
Last updated
11/06/2007
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