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Nicholas Shaw, ATC
NPI 1336800150 · on the registry since 2022
Practice
- Address
- 201 South Brooks Avenue
Pelahatchie, MS 39145 - Phone
- (601) 759-5006
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-04
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 Mississippi