MEDICARE: BAGBY & SHAW, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1101 000441	VA

General Provider Information

NPI Number	:	1356426365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAGBY & SHAW, INC.

Provider Business Mailing Address
First Line	:	5405 PATTERSON AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2003
Country	:	US
Telephone Number	:	804-282-6695
Fax Number	:

Provider Business Practice Location Address
First Line	:	5405 PATTERSON AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2003
Country	:	US
Telephone Number	:	804-282-6695
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTOPHER SHAW
Credential	:
Telephone Number	:	804-282-6695

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	05/30/2008

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