Shaver, Ellen G

Shaver, Ellen G is an individual health care provider with primary practice located at 840 Stevens Creek Rd , Augusta GA 30907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Shaver, Ellen G can be contacted via phone (706) 722-6957.

Contact Information

Primary practice address
840 Stevens Creek Rd Augusta GA 30907
Phone: (706) 722-6957
Fax: (706) 722-7454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 041670 Georgia

Profile Details

NPI number 1457306821
LBN Legal business name Shaver, Ellen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jun 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457306821 NPPES
South Carolina MEDICAID G41670
South Carolina MEDICAID 000709607E
South Carolina MEDICAID 000709607G

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