MICHAEL GEORGE SHAW

BRANDON, MS
NPI1073058020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  901869)
Enumeration Date2016-12-29
Last Update Date2016-12-29
Business Address
-- MICHAEL GEORGE SHAW PMHNP-BC
23 PEBBLE HILL DR
BRANDON, MS 39042-2140
Phone number: 601-941-6897
Mailing Address
-- MICHAEL GEORGE SHAW PMHNP-BC
23 PEBBLE HILL DR
BRANDON, MS 39042-2140
Phone number: 601-941-6897
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