| E. Carl Shaw, Dmd, Pc | |
|
1267 Russell Pkwy Warner Robins GA 31088-5582 | |
| (478) 923-0253 | |
| Not Available |
| Full Name | E. Carl Shaw, Dmd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1267 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | E. Carl Shaw (PRESIDENT) |
| Authorized Official Contact | 4789230253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Carl Shaw, Dmd, Pc 1267 Russell Pkwy Warner Robins GA 31088-5582 Ph: (478) 923-0253 | E. Carl Shaw, Dmd, Pc 1267 Russell Pkwy Warner Robins GA 31088-5582 Ph: (478) 923-0253 |
| NPI Number | 1558582726 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558582726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 70952 (Georgia) | Primary |
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