SHAW FAMILY MEDICAL, LLC is a clinic center in Shaw, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SHAW FAMILY MEDICAL, LLC NPI is 1750642633. The provider is registered as an organization entity type.
The provider Is Doing Business As Shaw Family Medical.
The provider's business location address is:
112 W PEELER AVE
SHAW, MS
ZIP 38773-710
Phone: (662) 754-3301
Fax: (662) 754-3304
The provider's authorized official is Nora Gough-davis .
The authorized official title is Partner and has the following contact phone number (662) 754-3301.
The CLIA number assigned to this NPI record is 25D2042850 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 6/6/2012 and was last updated on 2/22/2017.