Individual
GREG R. SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
US HWY 48 S, CAMILLA, GA 31730
(229) 883-4297
(229) 336-8200
Mailing address
PO BOX 2548, ALBANY, GA 31702-2548
(229) 312-5800
(229) 312-5853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003049
GA
Other
Enumeration date
02/07/2006
Last updated
10/08/2020
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