Individual
DR. GEORGE PAUL SHAW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 N MAIN ST, LA FAYETTE, GA 30728-2241
(706) 638-5300
(706) 638-5323
Mailing address
611 N MAIN ST, LA FAYETTE, GA 30728-2241
(706) 638-5300
(706) 638-5323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000233494A
—
GA
Enumeration date
06/13/2006
Last updated
08/05/2010
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