SearchNorth Carolina183500000X

Jesse Shaw

NPI 1952718157 · on the registry since 2014

Practice

Address
1090 S Main St
Kernersville, NC 27284
Phone
(336) 992-1680
Organisation at this address
North Carolina Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-20

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 North Carolina