Individual
DR. MARTHA GARRETT-SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 W GROVE ST STE 202, EL DORADO, AR 71730-4425
(870) 875-5577
(870) 875-5589
Mailing address
1617 N WASHINGTON, MAGNOLIA, AR 71753-2046
(870) 875-5577
(870) 875-5589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-3280
AR
207Q00000X
Family Medicine Physician
E3280
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149393001
—
AR
Enumeration date
09/08/2005
Last updated
02/13/2024
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