Individual
MRS. ELIZABETH SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5745 LEE ROAD 145, SALEM, AL 36874-2042
(706) 905-7732
Mailing address
5745 LEE ROAD 145, SALEM, AL 36874-2042
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/23/2013
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