NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1750642633 |   |   |   | SHAW FAMILY MEDICAL, LLC | PO BOX 299 | SHAW | MS | 387730299 |
1518428283 | BOLDEN | WILLIE MARY |   |   | 112 W PEELER AVE | SHAW | MS | 387738710 |
1861150401 | DAVIS | KIM |   |   | 112 W PEELER AVE | SHAW | MS | 387738710 |
1740410661 | GOUGH-DAVIS | NORA | CECELIA |   | 112 W PEELER AVE | SHAW | MS | 387738710 |
1023507456 | WILSON | TERESA |   |   | 112 W PEELER AVE | SHAW | MS | 387738710 |