Individual
DAVID LAWRENCE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00433842
RR MEDICARE
—
Enumeration date
07/07/2006
Last updated
01/18/2024
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