Individual
JILL DAVIS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
32 GARLAND DR, JACKSON, TN 38305-3602
(731) 664-3645
(731) 668-6549
Mailing address
1804 HIGHWAY 45 BYP, STE 604, JACKSON, TN 38305-4436
(731) 660-8755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2890
TN
Other
Enumeration date
07/06/2006
Last updated
07/29/2009
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