Search › Georgia › 363A00000X
Brendan Shaw, PA-C
NPI 1770111817 · on the registry since 2020
Practice
- Address
- 61 Whitcher St Ne Ste 4120
Marietta, GA 30060 - Phone
- (770) 424-9732
- Fax
- (770) 421-0228
- Organisation at this address
- Wellstar Medical Group, Llc
Wellstar Medical Group, Llc
Wellstar Medical Group, Llc
Wellstar Medical Group, Llc
Cobb Hyperbaric Medicine, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 112
Additional practice sites
- 250 Hickok Ave, Syracuse, NY
- 1404 River Pl, Braselton, GA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-11
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