Individual
ROBERT A. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 MOYE BLVD, ECU PHYSICIANS PULMONARY AND CRITICAL CARE, GREENVILLE, NC 27834-2849
(252) 744-1600
(252) 744-1115
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25428
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75564
BCBSNC
NC
05
—
8975564
—
NC
Enumeration date
06/10/2005
Last updated
02/20/2012
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