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Dr. Myra Shivers
Periodontist in Fayetteville, Georgia
NPI 1235355017

Myra Shivers is a Periodontist based in Fayetteville, GA and is specialized in Periodontics. Myra Shivers practices in Fayetteville, GA. The NPI Number for Myra Shivers is 1235355017 and holds a License No. 9975 (Georgia).

The current practice location address for Myra Shivers is 118 N Park Dr, Fayetteville, GA and can be reached out via phone at 770-460-6765 and via fax at 770-460-5598.

Location: 118 N Park Dr, Fayetteville, GA, 30214-1645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235355017
Provider Name
Myra Shivers
Credential
Provider Entity Type
Individual
Gender
Female
Address
118 N Park Dr, Fayetteville, GA, 30214-1645
Phone Number
770-460-6765
Fax Number
770-460-5598
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
118 N Park Dr
City
Fayetteville
State
Georgia
Zip
30214-1645
Phone Number
770-460-6765
Fax Number
770-460-5598
person
Provider Business Mailing Address Details
Address
118 N Park Dr
City
Fayetteville
State
Georgia
Zip
30214-1645
Phone Number
770-460-6765
Fax Number
770-460-5598
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
9975 (Georgia)
Definition
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.
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