Shiver, Bryan

Shiver, Bryan is an individual health care provider with primary practice located at 2501 N Patterson St , Valdosta GA 31602-0000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shiver, Bryan can be contacted via phone (229) 333-1000.

Contact Information

Primary practice address
2501 N Patterson St Valdosta GA 31602-0000
Phone: (229) 333-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003881 Georgia

Profile Details

NPI number 1538138672
LBN Legal business name Shiver, Bryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 9th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538138672 NPPES
Florida MEDICAID 291857900
Florida MEDICAID 856383907B

Popular Providers