Individual
DR. CARROLL PAUL SHIVERS JR.
Active
Individual
DR. CARROLL PAUL SHIVERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101054441
VA
207L00000X
Anesthesiology Physician
Primary
28622
NC
207L00000X
Anesthesiology Physician
28622
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010090547
—
VA
01
—
1162G
BCBSNC
NC
01
—
28622
MEDICAL LICENSE
SC
05
—
286229
—
SC
05
—
891162G
—
NC
01
—
P00893113
RAILROAD-MEDICARE
SC
01
—
P00906978
RAILROAD-MEDICARE
NC
Enumeration date
01/05/2006
Last updated
01/30/2015
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