IndividualActive
Renita Shaw, DPM
NPI 1376783324 · Foot Surgery Podiatrist · Wiggins, MS
Provider details
- NPI number
- 1376783324
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 80199 (MS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1434 Central Ave E
Wiggins, MS 39577-9602
Phone: (601) 928-6700
Fax: (601) 928-6731
Approximate (ZIP-level) locationGet directions
Mailing address
1434 E Central Ave.
Wiggins, MS 39503
Registry dates
- Enumerated
- 2009-03-04
- Last updated
- 2012-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.