Individual
DR. NATHAN BUCKLEY SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1398
(229) 247-0923
Mailing address
818 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1398
(229) 247-0923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122478
GA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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