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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL VICTOR SHIBLEY, PA

Active

MR. MICHAEL VICTOR SHIBLEY, PA is a Medical Physician Assistant healthcare provider located in ACWORTH, Georgia. NPI 1750678843 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ACWORTH, GA

Registration Details

NPI Number
1750678843
Provider Type
Individual
Gender
Male
NPI Issued
Jul 8, 2011 (15.064813759128 yrs)
Last Updated
Oct 27, 2017
License
006164 (GA)

Practice Information

Address
4791 S MAIN ST STE 100
ACWORTH, GA, 301015324
Browse GA providers · Browse ZIP 30101
Phone
4042511600
Fax
7704222340
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in ACWORTH, GA

Name Credential NPI
LEE BRIAN BRANDT JR. PA 1609840511
KALEIGH WIX PA-S 1235927039
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.