Mrs. Jacqueline D Shaw
MD | Pediatrics | Female
Mrs. Jacqueline D Shaw, MD is a Chattanooga, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Jacqueline D Shaw is
3300 Wilcox Blvd, Chattanooga, Tennessee - 37411-1073. She can be contacted on phone at
423-493-2100 and fax number 423-493-2137.
Mrs. Jacqueline D Shaw is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Jacqueline D Shaw is
1598758021 which was assigned by NPPES on 30 Aug, 2005 and it was last updated on 05 Oct, 2011.
Mrs. Jacqueline D Shaw license number is
19823 for Pediatrics (208000000X) in Tennessee.
Mrs. Jacqueline D Shaw is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Jacqueline D Shaw basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Jacqueline D Shaw |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mrs. Jacqueline D Shaw address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3300 Wilcox Blvd
Chattanooga, TN, 37411-1073
United States |
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| Phone Number : | 423-493-2100 |
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| Fax Number : | 423-493-2137 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598758021 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Aug, 2005 |
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| Last Updated On : | 05 Oct, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Jacqueline D Shaw are as mentioned. Primary taxonomy code for Mrs. Jacqueline D Shaw, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 19823 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Jacqueline D Shaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3050365 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3300 Wilcox Blvd
Chattanooga, TN, 37411-1073
United States |
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| Phone Number : | 423-493-2100 |
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| Fax Number : | 423-493-2137 |
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Business Location:
Patients can refer following map for directions to
Mrs. Jacqueline D Shaw practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.