Individual
TIMOTHY SCOTT SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
1338 SANFORD DR, COLUMBIA, SC 29206-4550
(803) 782-1330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23333
SC
207Q00000X
Family Medicine Physician
Primary
23333
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233330
—
SC
Enumeration date
04/19/2006
Last updated
03/07/2023
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