Marilyn Rayburn Shiver in Camilla - Sports
Marilyn Rayburn Shiver - NPI 1114996964
Marilyn Rayburn Shiver is a Sports in Camilla, Georgia. Marilyn Rayburn Shiver practices all healthcare services and medical treatments related to Sports. The NPI Number for Marilyn Rayburn Shiver is 1114996964. The last update date is 2015-06-25.
Marilyn Rayburn Shiver's current location address is 99 E Broad St, Camilla, Georgia. You can contact this provider via phone number 2293361115 and fax number 2293361151. The mailing address for Marilyn Rayburn Shiver is 99 E Broad St, Camilla, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Rayburn Shiver |
|---|---|
| Address | 99 E Broad St, Camilla, Georgia |
| Phone Number | 2293361115 |
| Fax Number | 2293361151 |
| Sole Proprietor | N |
| Credentials | P.T., M.S. |
NPI Number Detail
| NPI Number | 1114996964 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2015-06-25 |
Provider Mailing Address Detail
| Address | 99 E Broad St |
|---|---|
| City | Camilla |
| State | Georgia (GA) |
| Post Code | 317301807 |
| Phone Number | 2293361115 |
| Fax Number | 2293361151 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT007735 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 829428929A | GA | -- | |
| P00247221 | PALMETTO GBA - RR MEDICAR |
Post Comment/ Review Below
What is the unique identifier code issued to Marilyn Rayburn Shiver by the Centers for Medicare & Medicaid Services?
The Marilyn Rayburn Shiver has been assigned the NPI (National Provider Identifier) 1114996964. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marilyn Rayburn Shiver's physical address?
The Marilyn Rayburn Shiver is physically located at 99 E Broad St, in the city of Camilla, GA, with the postal code 317301807.
What is the area of specialization for Marilyn Rayburn Shiver, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marilyn Rayburn Shiver is Sports, and the corresponding taxonomy code that categorizes this area of expertise is 2251S0007X.
On what date did Marilyn Rayburn Shiver receive its 1114996964 assignment from the Centers for Medicare & Medicaid Services?
The Marilyn Rayburn Shiver was assigned its 1114996964 on 2006-03-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Marilyn Rayburn Shiver, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marilyn Rayburn Shiver, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-06-25.