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Individual

WILLIAM A SHAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
606 BLACK RIVER RD STE 300, GEORGETOWN, SC 29440-3304
(843) 652-8290
(843) 546-8216
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G0104
TX
207RG0100X
Gastroenterology Physician
Primary
93534
SC
207RG0100X
Gastroenterology Physician
G0104
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123796801
TX
Enumeration date
04/25/2006
Last updated
11/05/2025
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