Individual
MR. JAMES HAROLD SHIVERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
701 S HOLLY AVE, COLLINS, MS 39428-3894
(601) 765-3180
(601) 765-2808
Mailing address
2817 GATES RD, BASSFIELD, MS 39421-9026
(601) 765-3180
(601) 765-2808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R813646
MS
Other
Enumeration date
03/17/2008
Last updated
07/17/2013
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