| Shaver Medical, Pc | |
|
980 E Main St Suite #300 Blue Ridge GA 30513-7139 | |
| (706) 632-5454 | |
| (706) 632-5451 |
| Full Name | Shaver Medical, Pc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 980 E Main St, Blue Ridge, Georgia |
| Authorized Official Name and Position | Stefanie L Shaver (OWNER) |
| Authorized Official Contact | 7066325454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaver Medical, Pc 980 E Main St Suite #300 Blue Ridge GA 30513-7139 Ph: (706) 632-5454 | Shaver Medical, Pc 980 E Main St Suite #300 Blue Ridge GA 30513-7139 Ph: (706) 632-5454 |
| NPI Number | 1730405069 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730405069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056647 (Georgia) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 056647 (Georgia) | Primary |
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