Tolbert, Mary Susan Shaw

Tolbert, Mary Susan Shaw is an individual health care provider with primary practice located at Building C-1722 Tagatay And Gruber Rd., Fort Bragg NC 28310-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tolbert, Mary Susan Shaw can be contacted via phone (910) 907-8282.

Contact Information

Primary practice address
Building C-1722 Tagatay And Gruber Rd. Fort Bragg NC 28310-0001
Phone: (910) 907-8282
Fax: (910) 907-9360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000001709 Tennessee

Profile Details

NPI number 1790767705
LBN Legal business name Tolbert, Mary Susan Shaw
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 13th, 2026 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790767705 NPPES
Washington MEDICAID 7044670

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