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1477752863
MARC R SHAW
COLUMBUS, GA
NPI
1477752863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 005119)
Enumeration Date
2007-07-16
Last Update Date
2015-07-30
Business Address
-- MARC R SHAW PA
2122 MANCHESTER EXPRESSWAY
COLUMBUS, GA 31904
Phone number: 706-320-2773
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Mailing Address
-- MARC R SHAW PA
PO BOX 8147
COLUMBUS, GA 31908-8147
Phone number: 706-320-2773
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