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1962464636
ERVIN BART SHAW
WEST COLUMBIA, SC
NPI
1962464636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: SC 6123)
Enumeration Date
2006-04-06
Last Update Date
2016-03-03
Business Address
DR. ERVIN BART SHAW M.D.
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-936-8146
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Mailing Address
DR. ERVIN BART SHAW M.D.
PO BOX 2375
WEST COLUMBIA, SC 29171-2375
Phone number: 803-936-8146
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