Individual
BRITTANY ELIZABETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
4485 HICKORY DR, EVANS, GA 30809-3229
(706) 513-8803
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
9486290
FL
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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