Individual
DR. STEFANIE LEE SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
KORITZ CLINIC 201 INDEPENDENCE DRIVE, COLUMBUS, MS 39710-7139
(662) 434-2292
Mailing address
201 INDEPENDENCE DRIVE KORITZ CLINIC, COLUMBUS, MS 39710-7594
(404) 432-2724
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
56647
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802792298B
—
GA
Enumeration date
08/22/2006
Last updated
09/29/2025
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