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1538141585
EDWARD GUS SHAW
WINSTON SALEM, NC
NPI
1538141585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: NC 9500719)
Enumeration Date
2005-11-16
Last Update Date
2010-11-15
Business Address
-- EDWARD GUS SHAW MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- EDWARD GUS SHAW MD
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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