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Contact Information

GREG R SHIVER, PA
US HWY 48 S
CAMILLA, GA31730
 Phone: 229-883-4297
 Fax: 229-336-8200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GREG R SHIVER · (Male)

NPI # 1487627956
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/07/2006
Last updated 10/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 003049
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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