Individual
MR. BRENDAN BARRETT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(770) 424-9732
(770) 421-0228
Mailing address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(770) 424-9732
(770) 421-0228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10184
GA
363AS0400X
Surgical Physician Assistant
Primary
10184
GA
Other
Enumeration date
04/01/2020
Last updated
05/11/2026
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