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1750678843
MICHAEL VICTOR SHIBLEY
ACWORTH, GA
NPI
1750678843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 006164)
Enumeration Date
2011-07-08
Last Update Date
2017-10-27
Business Address
Mr. MICHAEL VICTOR SHIBLEY PA
4791 S MAIN ST STE 100
ACWORTH, GA 30101-5324
Phone number: 404-251-1600
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Mailing Address
Mr. MICHAEL VICTOR SHIBLEY PA
4791 S MAIN ST STE 100
ACWORTH, GA 30101-5324
Phone number: 404-251-1600
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