Search › Georgia › 251B00000X
Khani Shaw
NPI 1396500237 · on the registry since 2024 · sole proprietor
Practice
- Address
- 801 Carnegie Ct
Locust Grove, GA 30248 - Phone
- (470) 343-0773
Registry record
- Primary taxonomy
- 251B00000X
251B00000X
- Also registered as
- 104100000X
171M00000X - Sex
- Male
- Record last updated
- 2024-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia