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Individual

NOELLE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
4087 LAKE MANOR WAY, ATLANTA, GA 30349-8213
(770) 380-9953

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
05/11/2020
Last updated
05/11/2020
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