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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JERRY EMERSON SHAW, PA-C

Active

MR. JERRY EMERSON SHAW, PA-C is a Surgical Physician Assistant healthcare provider located in MEMPHIS, Tennessee. NPI 1265619118 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · MEMPHIS, TN

Registration Details

NPI Number
1265619118
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2008 (18.5144933949 yrs)
Last Updated
Sep 1, 2009
License
815 (TN)

Practice Information

Address
3980 NEW COVINGTON PIKE STE 200
MEMPHIS, TN, 381282514
Browse TN providers · Browse ZIP 38128
Phone
9019373232
Fax
9013730804
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in MEMPHIS, TN

Name Credential NPI
LYNN ANNETTE STEGALL PA-C 1083617930
JADA ANNE TRIBBLE PA 1285885293
MR. CARL H. HARRIS CSA 1578895546
BRIAN LAM PA-C 1184913022
ALLYN NOELLE FARMER PA 1891068631
BETH MATHIS RUIZ PA 1962778399
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.