Organization
CHARLES BRINSON SHIVER, III
Active
Other names
Charles B Shiver, III, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBIE J MORGAN (PRACTICE MANAGER)
(478) 453-0662
Entity
Organization
Contact information
Practice address
641 W THOMAS ST, MILLEDGEVILLE, GA 31061-2337
(478) 453-0662
(478) 452-8067
Mailing address
641 W THOMAS ST, MILLEDGEVILLE, GA 31061-2337
(478) 453-0662
(478) 452-8067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
GA
01
—
52237577
BCBS OF GA
GA
Enumeration date
08/21/2006
Last updated
08/22/2020
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