Male or Other

Erik T. Shaw D.O.

Physical Medicine & Rehabilitation Physician in Atlanta, GA(View on Map)

Full Name

Erik T Shaw D.O.

NPI Number

1821023359

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/12/2006

Specialties

(Taxonomies)

Code

208100000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

058012

Contact
Information

Purpose

Mailing
Location

Address

2020 PEACHTREE RD NW
2020 PEACHTREE RD NW

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30309-1426
30309-1426

Country

US
US

Telephone Number

(404) 352-2020
(404) 352-2020

Identifiers

Identifier

STE LICENSE NUMBER

Identifier State

GA

Identifier Issuer

MEDICAL LICENSE NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/05/2010

Provider Address

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