MYRA SHIVERS

FAYETTEVILLE, GA
NPI1235355017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: GA  9975)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
Dr. MYRA SHIVERS
118 N PARK DR
FAYETTEVILLE, GA 30214-1645
Phone number: 770-460-6765
Mailing Address
Dr. MYRA SHIVERS
118 N PARK DR
FAYETTEVILLE, GA 30214-1645
Phone number: 770-460-6765
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