Individual
DR. JOHN L. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
438 E VANN RD, SUITE 100, GREENEVILLE, TN 37743-7202
(423) 278-1700
(423) 278-1708
Mailing address
9650 LEYLAND DRIVE, APT 405, OOLTEWAH, TN 37363
(423) 620-4025
(828) 687-6285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05330
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31440261
—
TN
Enumeration date
06/08/2006
Last updated
02/18/2025
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