Individual
MRS. MEGAN A SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2741
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005683
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885987316B
—
GA
Enumeration date
10/05/2009
Last updated
05/02/2011
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