Organization
JRMDINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R SHAVER M.D. (PRESIDENT)
(706) 339-5092
Entity
Organization
Contact information
Practice address
4300 SOUTHERN PINES DR, EVANS, GA 30809-4287
(706) 504-4651
(706) 504-4639
Mailing address
PO BOX 6750, AUGUSTA, GA 30916-6750
(706) 504-4651
(706) 504-4639
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
042430
GA
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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