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Mr. Michael Shockley Shiver

Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic

130 E Broad St
Camilla , Georgia 31730-1809

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Mr. Michael Shockley Shiver

Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic

130 E Broad St
Camilla , Georgia 31730-1809

(229) 294-1346

Write a Review Save Call

Mr. Michael Shockley Shiver

Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic

130 E Broad St
Camilla , Georgia 31730-1809

(229) 294-1346 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist
  • Physical Therapist - Sports
  • Physical Therapist - Orthopedic

Languages spoken

  • English

Location

130 E Broad St Camilla , Georgia 31730-1809

First Address

  • Mr. Michael Shockley Shiver
  • 1012 Hurst Tate Rd
  • Meigs, GA
  • Zip : 31765-3812
  • Phone : (229) 294-1346

Second Address

  • Mr. Michael Shockley Shiver
  • 130 E Broad St
  • Camilla, GA
  • Zip : 31730-1809
  • Fax : (229) 336-1151
  • Phone : (229) 336-1115

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FAQs


Where did Mr. Michael Shockley Shiver attend graduate school?

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Where did Mr. Michael Shockley Shiver do his residency?

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Where did Mr. Michael Shockley Shiver do his fellowship?

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Is Mr. Michael Shockley Shiver board certified?

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In what state does Mr. Michael Shockley Shiver practice in?

Georgia

Where is Mr. Michael Shockley Shiver ’s practice located?

130 E Broad St , Camilla, Georgia, 31730-1809

What is Mr. Michael Shockley Shiver ’s gender?

Male

Is Mr. Michael Shockley Shiver a sole practitioner?

No

Is Mr. Michael Shockley Shiver accepting new patients?

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What languages does Mr. Michael Shockley Shiver speak?

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Does Mr. Michael Shockley Shiver accept insurance?

Yes, Mr. Michael Shockley Shiver accepts insurance

Does Mr. Michael Shockley Shiver offers telemedicine?

Mr. Michael Shockley Shiver has not indicated if he offers telemedicine

What is Mr. Michael Shockley Shiver ’s professional license number?

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What is Mr. Michael Shockley Shiver ’s NPI number?

1396714143

Does Mr. Michael Shockley Shiver have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 225100000X Physical Therapist PT006146 GA
N 2251S0007X Physical Therapist - Sports PT006146 GA
N 2251X0800X Physical Therapist - Orthopedic PT006146 GA

National Provider Identifier

NPI 1396714143
Provider Name Mr. Michael Shockley Shiver
First Address Meigs, GA 31765-3812
Second Address Camilla, GA 31730-1809
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/03/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00894297A (05) GA
65BBBKL (02) GA
P00107971 PALMETTO GBA - RR MEDICAR (01)
P27787 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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