Organization
GREG SHIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG SHIVERS (PRESIDENT)
(804) 435-0997
Entity
Organization
Contact information
Practice address
101 HARRIS DRIVE, KILMARNOCK, VA 22482
(804) 435-8000
Mailing address
180 NUNN LN, WHITE STONE, VA 22578-2208
(804) 435-0997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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