Individual
MAX RONALD SHIVER
Active
Individual
MAX RONALD SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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