Organization
SHAVER MEDICAL, PC
Active
Other names
DBA: Integrative Sports Medicine of Blue Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE L SHAVER MD (OWNER)
(706) 632-5454
Entity
Organization
Contact information
Practice address
980 E MAIN ST, SUITE #300, BLUE RIDGE, GA 30513-7139
(706) 632-5454
(706) 632-5451
Mailing address
980 E MAIN ST, SUITE #300, BLUE RIDGE, GA 30513-7139
(706) 632-5454
(706) 632-5451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
056647
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
056647
GA
Other
Enumeration date
04/12/2010
Last updated
04/14/2010
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