Individual provider · Type 1 NPI
Myra Shivers
Periodontics · Fayetteville, GA
NPI number
1235355017
Active
Practice location
118 N Park Dr
Fayetteville, GA 30214-1645
Fax (770) 460-5598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 9975 (GA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Fayetteville
About NPI 1235355017
Myra Shivers's National Provider Identifier is 1235355017, issued on Apr 18, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 8, 2007.