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1265619118
JERRY EMERSON SHAW
MEMPHIS, TN
NPI
1265619118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TN 815)
Enumeration Date
2008-01-23
Last Update Date
2009-09-01
Business Address
Mr. JERRY EMERSON SHAW PA-C
3980 NEW COVINGTON PIKE STE 200
MEMPHIS, TN 38128-2514
Phone number: 901-937-3232
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Mailing Address
Mr. JERRY EMERSON SHAW PA-C
5705 STAGE RD STE 240
BARTLETT, TN 38134-4541
Phone number: 901-382-2606
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