Individual
WILLIAM FREDERICK SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1301
(336) 716-6674
(336) 716-9188
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2021-00246
NC
207RC0000X
Cardiovascular Disease Physician
35066118
OH
207UN0901X
Nuclear Cardiology Physician
2021-00246
NC
Other
Enumeration date
12/27/2006
Last updated
05/17/2024
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