MARC R SHAW

COLUMBUS, GA
NPI1477752863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  005119)
Enumeration Date2007-07-16
Last Update Date2015-07-30
Business Address
-- MARC R SHAW PA
2122 MANCHESTER EXPRESSWAY
COLUMBUS, GA 31904
Phone number: 706-320-2773
Mailing Address
-- MARC R SHAW PA
PO BOX 8147
COLUMBUS, GA 31908-8147
Phone number: 706-320-2773