Individual
MR. GEORGE LEONARD SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
601 NORTHOLT PKWY, SUWANEE, GA 30024-4360
(770) 904-3222
Mailing address
2806 LANGFORD COMMONS DR, NORCROSS, GA 30071-1520
(404) 808-6183
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT007404
GA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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