Organization
LAFAYETTE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PAUL SHAW JR. M.D (DOCTOR)
(706) 638-5300
Entity
Organization
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
22056
GA
Other
Enumeration date
08/17/2007
Last updated
10/04/2007
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