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1023548591
BEVERLY SHAW
JACKSON, GA
NPI
1023548591
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Former Name
BEVERLY JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN207252)
Enumeration Date
2017-06-15
Last Update Date
2022-08-16
Business Address
BEVERLY SHAW FNP-C
1502 W 3RD ST
JACKSON, GA 30233-1979
Phone number: 770-914-1808
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Mailing Address
BEVERLY SHAW FNP-C
3333 RIVERWOOD PKWY SE STE 250
ATLANTA, GA 30339-3304
Phone number: 770-914-0116
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