MARY SUSAN SHAW TOLBERT

FORT BRAGG, NC
NPI1790767705
Former NameMARY SUSAN SHAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  PA0000001709)
Enumeration Date2005-11-16
Last Update Date2016-01-25
Business Address
Mrs. MARY SUSAN SHAW TOLBERT PA-C
BUILDING C-1722 TAGATAY AND GRUBER RD.
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8282
Mailing Address
Mrs. MARY SUSAN SHAW TOLBERT PA-C
1511 DONELSON PKWY WOMACK ARMY MEDICAL CENTER
DOVER, TN 37058-3749
Phone number: 910-907-8922
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