Provider Demographics
NPI:1063859700
Name:SHAW, GREGORY DON II (DVM)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:DON
Last Name:SHAW
Suffix:II
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6920 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-4420
Mailing Address - Country:US
Mailing Address - Phone:901-365-1979
Mailing Address - Fax:
Practice Address - Street 1:6920 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-4420
Practice Address - Country:US
Practice Address - Phone:901-365-1979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDV0000004626174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian