Individual
LEAH CATHERINE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
706 W KING ST, KINGS MOUNTAIN, NC 28086-2708
(980) 487-3751
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0010-09272
NC
363A00000X
Physician Assistant
0010-09272
NC
Other
Enumeration date
05/02/2019
Last updated
07/15/2024
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