Individual
ALFRED EDDIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 W DUE WEST AVE STE 102, MADISON, TN 37115-4420
(615) 868-2229
(615) 868-3635
Mailing address
607 W DUE WEST AVE STE 102, MADISON, TN 37115-4420
(615) 868-2229
(615) 868-3635
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD19524
TN
208C00000X
Colon & Rectal Surgery Physician
MD19524
TN
Other
Enumeration date
10/05/2005
Last updated
02/02/2012
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