Individual
PATRICIA ANN SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5425 PEACHTREE PKWY STE 248, PEACHTREE CORNERS, GA 30092-6536
(770) 448-6468
(678) 906-2799
Mailing address
5425 PEACHTREE PKWY STE 248, PEACHTREE CORNERS, GA 30092-6536
(770) 448-6468
(678) 906-2799
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
016981
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000111944E
—
GA
Enumeration date
05/02/2007
Last updated
04/09/2025
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