Individual
DR. CHARLES BRINSON SHIVER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2803 N COLUMBIA ST UNIT D, MILLEDGEVILLE, GA 31061-6448
(478) 453-0662
Mailing address
2803 N COLUMBIA ST UNIT D, MILLEDGEVILLE, GA 31061-6448
(478) 453-0662
(478) 452-8067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044333
GA
Other
Enumeration date
07/05/2006
Last updated
07/23/2020
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