Doctor Name: | TIMOTHY SCOTT SHAVER |
NPI Number: | 1275598674 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 23333 |
Business Practice Address: | 3000 Saint Matthews Rd Orangeburg, SC - 291181442 |
Business Phone Number: | 8033952200 |
Business Fax Number: | |
Mailing Address: | 1338 Sanford Dr, COLUMBIA |
State: | SC |
Postal Code: | 292064550 |
Phone Number: | 8037821330 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 23333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |