Organization
THE SHAVERS-COBB FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN L SHAVERS MPH (EXECUTIVE DIRECTOR/FOUNDER)
(870) 556-0335
Entity
Organization
Contact information
Practice address
2307 FOREST KNOLL DR, PINE BLUFF, AR 71603-6154
(870) 556-0335
Mailing address
2307 FOREST KNOLL DR, PINE BLUFF, AR 71603-6154
(870) 556-0335
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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