Individual
DR. STEPHEN WATSON SHIVER SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
410 E. MCPHERSON AVE, NASHVILLE, GA 31639-2275
(229) 686-7451
(229) 686-7547
Mailing address
410 E. MCPHERSON AVE, NASHVILLE, GA 31639-2275
(229) 686-7451
(229) 686-7547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8148
GA
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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