Individual
DR. MARLA LYNN SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 MORRIS DR, AMERICUS, GA 31719-8247
(229) 928-3402
Mailing address
410 MORRIS DR, AMERICUS, GA 31719-8247
(229) 928-3402
(229) 928-3492
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
055643
GA
2085R0202X
Diagnostic Radiology Physician
G72124
CA
2085R0202X
Diagnostic Radiology Physician
ME96818
FL
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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