EDWARD GUS SHAW

WINSTON SALEM, NC
NPI1538141585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: NC  9500719)
Enumeration Date2005-11-16
Last Update Date2010-11-15
Business Address
-- EDWARD GUS SHAW MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
Mailing Address
-- EDWARD GUS SHAW MD
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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