Search › Georgia › 1223P0300X
Myra Shivers
NPI 1235355017 · on the registry since 2007 · sole proprietor
Practice
- Address
- 118 N Park Dr
Fayetteville, GA 30214 - Phone
- (770) 460-6765
- Fax
- (770) 460-5598
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia