CHARLOTTE B SHAW

BASTROP, LA
NPI1316219751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  PA200515)
Enumeration Date2012-02-01
Last Update Date2014-07-01
Business Address
-- CHARLOTTE B SHAW PA-C
510 S WASHINGTON ST
BASTROP, LA 71220-5033
Phone number: 318-281-8110
Mailing Address
-- CHARLOTTE B SHAW PA-C
510 S WASHINGTON ST
BASTROP, LA 71220-5033
Phone number: 318-281-8110
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