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Kim Shaver

NPI 1528338589 · on the registry since 2012

Practice

Address
5703 Denton Cir
Norcross, GA 30092
Phone
(770) 734-0045

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-09

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