Individual
DR. FREDERIC ELIJAH SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 CLIFTON RD NE, MS E-97, ATLANTA, GA 30329-4018
(404) 498-6364
Mailing address
1600 CLIFTON RD NE, MS E-97, ATLANTA, GA 30329-4018
(404) 498-6364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26029
GA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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