Shaver, Stefanie Lee

Shaver, Stefanie Lee is an individual health care provider with primary practice located at 980 E Main St Suite 300, Blue Ridge GA 30513-7139. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Shaver, Stefanie Lee can be contacted via phone (706) 632-5454.

Contact Information

Primary practice address
980 E Main St Suite 300 Blue Ridge GA 30513-7139
Phone: (706) 632-5454
Fax: (706) 632-5451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 056647 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 056647 Georgia

Profile Details

NPI number 1093821019
LBN Legal business name Shaver, Stefanie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Sep 30th, 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 1093821019 NPPES
Georgia MEDICAID 802792298B

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