DR. Myra Shivers is a periodontics dentist in Fayetteville, GA. The provider is 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. DR. Myra Shivers NPI is 1235355017. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
118 N PARK DR
FAYETTEVILLE, GA
ZIP 30214-645
Phone: (770) 460-6765
Fax: (770) 460-5598
The NPI 1235355017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 4/18/2007 and was last updated on 7/8/2007.