Jerry Shaw, PA-C

NPI 1265619118 · on the registry since 2008

Practice

Address: 3980 New Covington Pike Ste 200
Memphis, TN 38128
Phone: (901) 937-3232
Fax: (901) 373-0804
Organisation at this address: Owen Clinic, P. C.
Memphis Orthopaedic Group Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee