Individual
MR. MICHAEL VICTOR SHIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4791 S MAIN ST STE 100, ACWORTH, GA 30101-5324
(404) 251-1600
(770) 422-2340
Mailing address
4791 S MAIN ST STE 100, ACWORTH, GA 30101-5324
(404) 251-1600
(770) 422-2340
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006164
GA
Other
Enumeration date
07/08/2011
Last updated
10/27/2017
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