Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RENITA TA'SHA SHAW, DPM
Active Sole ProprietorDR. RENITA TA'SHA SHAW, DPM is a Foot Surgery Podiatrist healthcare provider located in WIGGINS, Mississippi. NPI 1376783324 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · WIGGINS, MS
Registration Details
- NPI Number
- 1376783324
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2009 (17.418617973715 yrs)
- Last Updated
- Jun 15, 2012
- License
-
80199 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1434 CENTRAL AVE EWIGGINS, MS, 395779602Browse MS providers · Browse ZIP 39577
- Phone
- 6019286700
- Fax
- 6019286731
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
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.