Shiver, Marilyn Rayburn

Shiver, Marilyn Rayburn is an individual health care provider with primary practice located at 99 E Broad St , Camilla GA 31730-1807. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Shiver, Marilyn Rayburn can be contacted via phone (229) 336-1115.

Contact Information

Primary practice address
99 E Broad St Camilla GA 31730-1807
Phone: (229) 336-1115
Fax: (229) 336-1151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT007735 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT007735 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT007735 Georgia

Profile Details

NPI number 1114996964
LBN Legal business name Shiver, Marilyn Rayburn
Credentials P.T., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jun 25th, 2015 - about 10 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 1114996964 NPPES
Georgia MEDICAID 829428929A
Georgia Other P00247221

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