Individual
ERIK T SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
(404) 352-2020
(404) 350-7381
Mailing address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
(404) 352-2020
(404) 350-7381
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
058012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STE LICENSE NUMBER
MEDICAL LICENSE NUMBER
GA
Enumeration date
07/12/2006
Last updated
04/05/2010
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