Provider Demographics
NPI:1790904076
Name:SHAW, MARGARET ANNE (RN, PNP-BC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANNE
Last Name:SHAW
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Gender:F
Credentials:RN, PNP-BC
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Mailing Address - Street 1:371 POPLAR LANE WAY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1636
Mailing Address - Country:US
Mailing Address - Phone:404-687-8913
Mailing Address - Fax:770-491-3164
Practice Address - Street 1:2007 MONTREAL RD
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5253
Practice Address - Country:US
Practice Address - Phone:770-491-1285
Practice Address - Fax:770-491-3164
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2013-06-03
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Provider Licenses
StateLicense IDTaxonomies
GARN059632363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics