DANIEL S SHAW

WAYNESBORO, TN
NPI1114493756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TN  24734)
Enumeration Date2018-10-22
Last Update Date2018-10-23
Business Address
DANIEL S SHAW ACNP
107 JV MANGUBAT DR
WAYNESBORO, TN 38485-2440
Phone number: 931-722-2800
Mailing Address
DANIEL S SHAW ACNP
PO BOX 689
WAYNESBORO, TN 38485-0689
Phone number: 931-722-2800