MEDICARE: DAVID LAWSON SHAW MD

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	2085R0001X	Radiation Oncology Physician	24090	GA

General Provider Information

NPI Number	:	1164461281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LAWSON SHAW MD

Provider Business Mailing Address
First Line	:	1800 HOSPITAL SOUTH DR
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30106-8114
Country	:	US
Telephone Number	:	770-948-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 HOSPITAL SOUTH DR
Second Line	:
City	:	AUSTELL
State	:	GA
Zip	:	30106-8114
Country	:	US
Telephone Number	:	770-948-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	10/30/2019

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Directions to “ DAVID LAWSON SHAW MD” Practice Location

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