EVERETT LEE SHAW

DECATUR, IL
NPI1437444163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.004037)
Enumeration Date2011-06-10
Last Update Date2023-01-17
Business Address
EVERETT LEE SHAW PA-C
4775 E MARYLAND ST
DECATUR, IL 62521-8820
Phone number: 217-864-3737
Mailing Address
EVERETT LEE SHAW PA-C
517 N MAIN ST
ANNA, IL 62906-1668
Phone number: 618-833-4300
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