Jerry Emerson Shaw in Memphis - Surgical

Jerry Emerson Shaw - NPI 1265619118

Jerry Emerson Shaw is a Surgical in Memphis, Tennessee. Jerry Emerson Shaw practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jerry Emerson Shaw is 1265619118. The last update date is 2009-09-01.

Jerry Emerson Shaw's current location address is 3980 New Covington Pike Ste 200, Memphis, Tennessee. You can contact this provider via phone number 9019373232 and fax number 9013730804. The mailing address for Jerry Emerson Shaw is 3980 New Covington Pike Ste 200, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Emerson Shaw
Address 3980 New Covington Pike Ste 200, Memphis, Tennessee
Phone Number 9019373232
Fax Number 9013730804
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1265619118
Provider Enumeration Date 2008-01-23
Last Updated Date 2009-09-01

Provider Mailing Address Detail

Address 3980 New Covington Pike Ste 200
City Memphis
State Tennessee (TN)
Post Code 381282514
Phone Number 9019373232
Fax Number 9013730804

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 815
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Jerry Emerson Shaw

What is the unique 10-digit identification code assigned to Jerry Emerson Shaw by the Centers for Medicare & Medicaid Services?

The Jerry Emerson Shaw has been issued the NPI (National Provider Identifier) 1265619118, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jerry Emerson Shaw's facilities are geographically located?

The facilities of Jerry Emerson Shaw are physically situated at the following location: 3980 New Covington Pike Ste 200, Memphis, TN, 381282514.

What is Jerry Emerson Shaw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jerry Emerson Shaw is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.

When did the Jerry Emerson Shaw receive its 1265619118?

The Jerry Emerson Shaw was issued its 1265619118 on 2008-01-23, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Jerry Emerson Shaw most recently updated or revised?

The details related to Jerry Emerson Shaw, including its address, specialty, and other relevant information, were last updated or revised on 2009-09-01.

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