Individual
MAX RONALD SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9174 PARKWAY E, BIRMINGHAM, AL 35206-1507
(205) 498-2675
(205) 498-2676
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-5257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.8463
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00203145F
—
GA
05
—
009915600
—
AL
01
—
051060676
BC/BS ALABAMA
AL
01
—
234255
BC/BS GEORGIA
GA
Enumeration date
07/20/2005
Last updated
05/18/2022
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