Individual
ELLEN G SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 STEVENS CREEK RD, AUGUSTA, GA 30907
(706) 722-6957
(706) 722-7454
Mailing address
PO BOX 204630, AUGUSTA, GA 30917-4630
(706) 722-6957
(706) 722-7454
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
041670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000709607E
—
GA
05
—
000709607G
—
GA
05
—
G41670
—
SC
Enumeration date
05/24/2006
Last updated
06/20/2014
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