Individual
DR. RON L SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
818 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1398
(229) 247-0923
(229) 247-7196
Mailing address
818 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1398
(229) 247-0923
(229) 247-7196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9201
GA
Other
Enumeration date
06/12/2006
Last updated
08/28/2007
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