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1770111817
BRENDAN BARRETT SHAW
MARIETTA, GA
NPI
1770111817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 10184)
Enumeration Date
2020-04-01
Last Update Date
2022-11-14
Business Address
Mr. BRENDAN BARRETT SHAW PA-C
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060-1179
Phone number: 770-424-9732
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Mailing Address
Mr. BRENDAN BARRETT SHAW PA-C
61 WHITCHER ST NE STE 4120
MARIETTA, GA 30060-1179
Phone number: 770-424-9732
Copy
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