Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MYRA SHIVERS
Active Sole ProprietorDR. MYRA SHIVERS is a Periodontology healthcare provider located in FAYETTEVILLE, Georgia. NPI 1235355017 is currently active in the NPPES registry. Verify at CMS.
Periodontology · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1235355017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2007 (19.35901460445 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9975 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
118 N PARK DRFAYETTEVILLE, GA, 302141645Browse GA providers · Browse ZIP 30214
- Phone
- 7704606765
- Fax
- 7704605598
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ASHISH KUKREJA | D.D.S. | 1447473947 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.