Warren, Edward Shaw

Warren, Edward Shaw is an individual health care provider with primary practice located at 220 N Main St , Greenville SC 29601-2161. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Warren, Edward Shaw can be contacted via phone (864) 706-5342.

Contact Information

Primary practice address
220 N Main St Greenville SC 29601-2161
Phone: (864) 706-5342
Fax: (864) 472-4411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 22026 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22026 South Carolina
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 22026 South Carolina

Profile Details

NPI number 1992777148
LBN Legal business name Warren, Edward Shaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 6th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992777148 NPPES
South Carolina MEDICAID T62508

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