# DR. STEFANIE LEE SHAVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093821019
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | 56647 | GA | — |
| 207Q00000X | Family Medicine Physician | 056647 | GA | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 056647 | GA | — |
| 2083A0100X | Aerospace Medicine Physician | 56647 | GA | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 09/29/2025