Individual
SHANTHI VICTORIA SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0004
(336) 716-2255
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
010048
GA
207L00000X
Anesthesiology Physician
Primary
2022-01297
NC
Other
Enumeration date
06/06/2018
Last updated
07/13/2022
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