MICAH SHAW

MONROE, GA
NPI1427345719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN014307)
Enumeration Date2011-07-07
Last Update Date2017-06-22
Business Address
MICAH SHAW D.M.D.
303 S BROAD ST
MONROE, GA 30655-2119
Phone number: 770-267-4404
Mailing Address
MICAH SHAW D.M.D.
303 S BROAD ST
MONROE, GA 30655-2119
Phone number: 770-267-4404
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