Mary Susan Shaw Tolbert, PA-C
Physician Assistant in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1790767705
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790767705
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Susan Shaw Tolbert
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA0000001709 | TN | Yes |
Other names
- Mary Susan Shaw (Former Name)
Practice location
Building C-1722Tagatay And Gruber Rd.
Fort Bragg, NC 28310-0001
Phone 910-907-8282 · Fax 910-907-9360
Mailing address
1511 Donelson PkwyWomack Army Medical Center
Dover, TN 37058-3749
Phone 910-907-8922 · Fax 910-907-6069
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All 203 Physician Assistant providers in Fort Bragg · All 2,056 providers in Fort Bragg
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