Organization
COVID SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHIVDAT MD (ORGANISER)
(770) 824-4343
Entity
Organization
Contact information
Practice address
4151 GRAY HWY, GRAY, GA 31032-6101
(770) 824-4343
(678) 519-1089
Mailing address
4151 GRAY HWY, GRAY, GA 31032-6101
(770) 824-4343
(678) 519-1089
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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