Shaw, Michael George

Shaw, Michael George is an individual health care provider with primary practice located at 23 Pebble Hill Dr , Brandon MS 39042-2140. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Shaw, Michael George can be contacted via phone (601) 941-6897.

Contact Information

Primary practice address
23 Pebble Hill Dr Brandon MS 39042-2140
Phone: (601) 941-6897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 901869 Mississippi

Profile Details

NPI number 1073058020
LBN Legal business name Shaw, Michael George
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2016
Last updated Dec 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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