Provider Demographics
NPI:1922269737
Name:SHAW, STEVEN JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:SHAW
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Gender:M
Credentials:MD
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Mailing Address - Street 1:55 VILCOM CENTER DR
Mailing Address - Street 2:STE 140
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1690
Mailing Address - Country:US
Mailing Address - Phone:919-967-4836
Mailing Address - Fax:919-967-6498
Practice Address - Street 1:55 VILCOM CENTER DR
Practice Address - Street 2:STE 140
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1690
Practice Address - Country:US
Practice Address - Phone:336-716-2255
Practice Address - Fax:336-716-7994
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2017-04-17
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Provider Licenses
StateLicense IDTaxonomies
NC2011-10295207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5917950Medicaid
NCNC1309AMedicare PIN