Shaw, Renita Ta'Sha

Shaw, Renita Ta'Sha is an sole proprietor health care provider with primary practice located at 1434 Central Ave E , Wiggins MS 39577-9602. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Shaw, Renita Ta'Sha can be contacted via phone (601) 928-6700.

Contact Information

Primary practice address
1434 Central Ave E Wiggins MS 39577-9602
Phone: (601) 928-6700
Fax: (601) 928-6731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 80199 Mississippi

Profile Details

NPI number 1376783324
LBN Legal business name Shaw, Renita Ta'Sha
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2009
Last updated Jun 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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