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Jason Lee Shives, MD
Family Medicine Physician in Purvis, Mississippi
NPI 1083942338

Jason Lee Shives is a Family Medicine Physician based in Purvis, MS. Jason Lee Shives practices in Purvis, MS and has the professional credentials of MD. The NPI Number for Jason Lee Shives is 1083942338 and holds a License No. ME102839 (Mississippi).

The current practice location address for Jason Lee Shives is 102 Shelby Speights Dr, Purvis, MS and can be reached out via phone at 601-794-8065 and via fax at 601-794-5650.

Location: 102 Shelby Speights Dr, Purvis, MS, 39475-4151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083942338
Provider Name
Jason Lee Shives
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
102 Shelby Speights Dr, Purvis, MS, 39475-4151
Phone Number
601-794-8065
Fax Number
601-794-5650
Provider Enumeration Date
11/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 Shelby Speights Dr
City
Purvis
State
Mississippi
Zip
39475-4151
Phone Number
601-794-8065
Fax Number
601-794-5650
person
Provider Business Mailing Address Details
Address
102 Shelby Speights Dr
City
Purvis
State
Mississippi
Zip
39475-4151
Phone Number
601-794-8065
Fax Number
601-794-5650
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD470029 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME102839 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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