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Nicole Shaw

NPI 1316277593 · on the registry since 2010 · sole proprietor

Practice

Address
1602 Princeton Ln
Augusta, GA 30904
Phone
(706) 877-3194

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-01-11

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 Georgia