Individual
STEPHANIE ELIZABETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
590 PETER JEFFERSON PKWY STE 250, CHARLOTTESVILLE, VA 22911-4655
(434) 293-3890
(804) 675-6299
Mailing address
590 PETER JEFFERSON PKWY STE 250, CHARLOTTESVILLE, VA 22911-4655
(434) 293-3890
(804) 675-6299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101265673
VA
Other
Enumeration date
04/28/2015
Last updated
12/02/2019
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