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1740686070
SHAW TIMOTHY LOCKE
FORT LIBERTY, NC
NPI
1740686070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08699)
Enumeration Date
2014-11-13
Last Update Date
2024-10-28
Business Address
SHAW TIMOTHY LOCKE PA-C
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310-5318
Phone number: 910-907-8922
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Mailing Address
SHAW TIMOTHY LOCKE PA-C
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-8922
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