Individual
JAMES ROBERT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
377 GALLIMORE RD, BREVARD, BREVARD, NC 28712-8874
(828) 884-9030
(828) 884-3563
Mailing address
PO BOX 602373, CHARLOTTE, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-70577
UNITED HEALTHCARE
NC
01
—
0637660001
PALMETTO GOVERNMENT SERVI
NC
01
—
080084314
RAILROAD MEDICARE
NC
01
—
213592C
MEDICARE PTAN
NC
01
—
561852981F
CIGNA
NC
01
—
75523
BLUE CROSS BLUE SHIELD
NC
05
—
8975523
—
NC
01
—
NCM996A
MEDICARE PTAN
NC
01
—
NCM996B
MEDICARE PTAN
NC
01
—
NCM996C
MEDICARE PTAN
NC
Enumeration date
09/29/2006
Last updated
02/09/2022
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