Individual
LINETTE SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
304 GREENVIEW CT, BONAIRE, GA 31005-3627
(478) 957-5697
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN078517
GA
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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