Shaver, Joseph R

Shaver, Joseph R is an individual health care provider with primary practice located at 3651 Wheeler Rd Burn Center, Augusta GA 30909-6521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Shaver, Joseph R can be contacted via phone (706) 651-6661.

Contact Information

Primary practice address
3651 Wheeler Rd Burn Center Augusta GA 30909-6521
Phone: (706) 651-6661
Fax: (706) 504-4639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 042430 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 042430 Georgia

Profile Details

NPI number 1356323265
LBN Legal business name Shaver, Joseph R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Oct 25th, 2011 - about 13 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 1356323265 NPPES
Georgia MEDICAID 000715261E
Georgia MEDICAID 000715261A
Georgia MEDICAID G42430

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